HomeMy WebLinkAboutHomestead_Williams (23)�ia�A � � � —P.��� � _,7r__ T_
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���'�!44_CLAiM FOR HOMESTERD PROPERTY TAX YEAR
��r'`�F } CREDIT/STANDARD DEDUCTION a
•`.; ,�� Slale Form 5473 (R2/1=90) �
INSTRUCTIONS: Se �everse side lor lrling inslructions.
a� _q MAY 41992
�C D ID� CERTIFICATION STATEMENT -
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I(We) � •`� certify that on Ihe sl day of }�@I�TQf$ �
I(We) occupied as our principal place of residence Ihe lollowing described real property (or which a Homestead
''roperty Tax Credit is hereby clairned: ❑�(-4Vej owned ❑ Are buying under coniracl
� Have a beneficial interesl in lhe enlity Ihat is liable tor the properly laxes on the property and lhat owns Ihe
property or is buying it under a contracl.
CONTRACT RECORDED
If buying on conlracl, Fee Simple Owner's Name
Recorder's office where comract is recorded Record Nurnber Page
PROPERTY DESCRIPTION
Townshi , � � Tax(fi�Uis(rict (Ciry, �own, �ownship)
Parcel Number Legal c ipti - �I ��
�� q - no IB� ��- � � - �- -Ib
Ii any porlion of Uie residential slructure or lhe land nol exceeding one (1) acre Ihat immedialely surrounds lhat slruc-
Wre is used to produce income describe lhe use and portion of Ihe properly ulilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Township County �_
��
cerlily Ihe above slalemenls are Irue, correcl and I,Signauue--'� ��
Address S�reet, number, ciry, stale
h �D 3 S . S«., �.... _�
ASSESSOR USE ONLY
Land nol exceeding t(one) acre irnmedialely
surrounding residenlial improvemenls
Otlier land
Total land • line (1) plus line (2)
Residen(ial improvemenls Oweliing
Garage
Other improvemenls
Total improvements • line (4) lhrougli line (6)
Totai value - line (3) plus line (7)
I hereby certi(y �he above is irue,
correct, and complete
TRUETAXVALUE ASSESSEDVALUE HOMESTEADVALUE
(I)
(4)
(5)
(6)
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�8)
Signalure
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NON-RESIDENTIAL
VALUE
Date Signed
STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990 1990 Pay 1991 1991 Pay 1992 19 — Pay 19—
i_esser of 1/2 fiomesiead Lesser ol 1/2 Homestead Lesser ot 1/2 Homestead lesser ol t/2 Homeslead
Valualion or $2,500 Valuation or $2,000 Valuation or $1,500 Valualion or $1.500
Signalure of Audilor �{ ���/'� 1� DaJrte
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