HomeMy WebLinkAboutHomestead_WinklerCLAIM FOR HOMESTEAD PROPERTY-TAX.,, FORM YEAR
w CREDIT /STANDARD DEDUCTION' HC10 9
State Form 5473 (R2/1 -90) •
INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT ✓/-
L
cer
71—(We) T T ti that on the list day of March , 19
�occupied s our principal place of residence the following described real property for which a Homestead
erty Tax Credit is hereby claimed_. I (We) owned ❑ Are buying under contract
El property a beneficial interest in the entity that is Roble for the property -taxes on the property and that owns the
property or is buying it under a contract. •
If buying on contract. Fee Simple
Recorder's office where contract
ED
PROPFRTY DFSCRIPTION ((IL 091990
County Township Taxing D' ri t City. t wn, I w ip)
s
MU
Parcel Number Legal Description
O — 00 I —n
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that strut- .
ture is used to produce income describe the use and portion, of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Township
:eby certify the above statements are true. correct and
(2)
ture -
complete. -
Valuation or $2,500
(3)
Address (Street, number, tit , st e nd ZIP code)
—1117, L Z 1,17Z,4157
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL
,I- - - VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements
Other land
Total land - line (1) plus line (2)
Residential improvements _ Dwelling_ .
Garage
Other improvements
Total improvements - line (4) through line (6)
Total value - line (3) plus line (7)
(1)
1991 Pay 1992
19— Pay 19—
sser of 112 Homestead
(2)
-
Lesser of 112 Homestead
Valuation or $2,500
(3)
Valuation or $1,500
Valuation or S1,500
(4) .
Signature of Auditor
(5)
Date ne T
(6)
(7)
(8)
1 hereby certify the above is true,
correct, and complete
Signature of Assesor
Date Signed
Verifying Action - Signature of Auditor
Date Signed
STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990
1990 Pay 1991
1991 Pay 1992
19— Pay 19—
sser of 112 Homestead
Lesser of 112 Homestead
Lesser of 1/2 Homestead
Lesser of 112 Homestead
Valuation or $2,500
Valuation or $2,000
Valuation or $1,500
Valuation or S1,500
Signature of Auditor
-
Date ne T
U