HomeMy WebLinkAboutHomestead_Westerfield (3)i�j��.y rt�� t CLAIM FOR HOMESTEAD PROPERTY TAX
; CREDIT/STANDARD DEDUCTION
, State Form 5473 (R2 / 5-92)
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INSTRUCTIONS: See reverse side lor (iling instrudions.
. � - , � .- � _ r - . .,.: cean�can
FORM�{ ��; \ � YEAR
�HC 0�
J�+-�'
16 1999
I I(We)�.1 i�-�PJiI� i�]�'1,(Xd�0.. ,SC��that,on-t,�ie Ys�tLday(6fMarch, 79_
�-n+l� Y
I(�upied as our principal place of residence the follovring described r � property for which a FIOmEStea�P�operty Tau Credit is hereby daimed:
� J I(We) owned ❑ Are buying under contract
'� Have a beneficial interesi in the entiry that is liable for the property taxes on the property and thai owns the property or is buying under a contract.
- _. _ . COHTRACTFECORDED :�'' `" - . .. -_,a;-'-
Ii buying on contrad, Fee Simple owner's name
fiecortler's oHice where contract is recorded Record number Paqe
Counry Township Tazing tlistncl(dry, f ro n�shrp)
ce um _ Q O Legal deuription
It any portion of Ne resitlential sWCture or ihe la� not exceeding one (7) acre that immetliatey surrounds Ihai sWCNre is used ro produce income. describe Ne use aM ponion
of Ne properry utilized to protluce inmme.
� PROPERTY OWNED BY CLAIMANT IN OTHEP
Couniy Township Counry
I �
I hereby certify the above statements are true, wrrect and complete. �Signanre of d�
�
�dress (number alMsneel, dry, stat a cnde)
n[/ < /31_.'...Si �.'_._� � .�--/il �7ia��
, � ASSESSOR USE ONLY
Land not ezceeding 7(one) acre immediately
surrounding residential improvemenis.
Other land
Total land (line 1 plus line 2�
Dwelling
Resideniial improvements
Garage
Other improvemenls
Total improvements (line 4 Ihrough line �
Total value (line 3 p�s line �
I hereby certify the above is true. mrreci, and
complete.
Verifyirg aaion - Si9naWre of Auditor
TRUE TAX ASSESSED
VALUE VALUE
(�)
(2)
(3)
(4)
(5)
(6)
(�)
(8)
of Assessor
HOMESTEAD
VALUE
NON-RESIDENTIAL .
VALUE .
Date signed
Date signed
- STANDARD DEDUCTION ALLOWANCE" :' ' - � �
79_Pay19_
Lesser of tl2 Homestead
Valuation or $2.000 �
Signature af Auditor Date signed