HomeMy WebLinkAboutHomestead_White (16)d�T•�• CLAIM FOR HOMESTEAD PROPERTY TAX
��'�'�; CREDIT/STANDARD DEDUCTION
•.,�� State Form 5473 (R2/1-90)
INSTRUCTIONS: See reverse side for lrling instructions.
CERTIFICATION ST
(We)
ENT
'�►�1;; ;� �, . -
� r.', �t. �1 'I�'
�.. � ..
�
that on the 1st day o arc , 19
!(We) occupied as`e'ur principal place of residence the following described real property for which a Homestead
Property Tax Credit is hereby claimed: � I(We) owned ❑ Are buying under contract
� Have a beneficial interesl in the entity that is liable for the property taxes on the property and that owns the
property or is buying it under a contract.
if buying on contract,
contract is recorded
CONTRACT RECORDED
PROPERTY DESCRIPTION
Taxing Distpej (City, town,
ar el Number Legal Description
���-03�30-0o IJ.S. Pf. r�ie-t 3 23
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that struc-
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
_�
Township Count_; —_ '
I hereby certify the above statemenis are true, correct and
state an�i,ZIP code)
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land not exceeding t(one) acre immediately
surrounding residential improvements (� 1
Other land (2)
Tolal land - line (1) plus line (2) (3)
Residential improvements Dwelling (4)
Garage (5)
Other improvements (6)
Total improvements - tine (4) through line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify the above is true, Signature of Assesor Date Signed
correct, and complete
Verifying Aciion - Signature of Auditor Date Signed
' 1989 Pay 1990
Lesser of 1/2 Homestead
Valuation or $2,500
�—
Signature oi Auditor
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991 7991 Pay 1992
Lesser of 7/2 Homestead Lesser of 1/2 Homestead
Valuation or $2,000 Valuation or $1,500
���e�
19—Pay 19—
Lesser of 1/2 Homestead
Valuation or $1,500
_�--