Homestead_Winter,.�� ��.; CLAIM FOR HOMESTEAD PROPERTY TAX
;4�` �� � CREDIT/STANDARD DEDUCTION
� .� State Form 5473 (R2%t-90)
�'°�• � INSTRUCTIONS: See reverse side lor liling instructions.
�-``. CERTIFICATION STATEMENT
V
FORM
HC10
YEAR
l�
I(We) Xf'i./YVl4n c�1� �� � certify that on the tst day ot March , 19�
I(We) occu ed as our principal place oi residence the following described real property (or which a Homestead
P ty Tax Credit is hereby claimed: �(We) owned ❑ Are buying under contract
�ave a e c� I in , fhe entity that is liable (or the property taxes on the property and that owns the
� propert r' �r a contract.
<<naY ; i 7so
I( buying on c ntracL Fee Simple
l�w ,A� m,�,
Recorder's o((ice WR�fFiT�Rra
County � T
CONTRACT RECORDED
Name
is recorded
PROPERTY DESCRIPTION
town, township)
Page
Parc Number Legal De criptio (� p� ��
�� f2��R0 �U ,: (����nro-�-�R. i-���1��
If any portion of the residential. sirucWre or the land not exceeding one (1) acre that immediately surrounds that struc-
ture is used to produce income describe �he use and portion of the property utilized to produce income.
Caunty
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
certify the above statemen�s are true, corred and Si nature
;(Street, number, city, state and ZIP code)
ASSESSOR USE ONLY ���; TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE
NON•RESIDENTIAL
VALUE
Land not exceeding 1(one) acre immedialely
surrounding residential improvements (�)
Otherland (2)
Total land - line (1) pius line (2) (3)
Residential improvemenis Dwelling (4)
Garage (5)
Olher improvemenls (6)
Total improvements - line (4) throughJine (6) (7)
Total value - line (3) ptus line (7) (8)
I hereby certity the above is true, Signature of Assesor Date Signed
correct, and complete
Verifying Aclion - Signature o( Auditor Date Signed
� 1989 Pay 1990
>ser of 1/2 Homestead
Valuation or $2,500
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991
' L'esser ol t/2 Homestead
' ; Valuation or $2,000
;' ��
:
1991 Pay 1992 I 19 _ Pay 19 �
Lesser of 7/2 Homestead Lesser of 1/2 Homestead
Valuation or $7,500 Valuation or $1,500
Pl AL�E111Qf ^ ' _ i (1 I nn , . „ I -�, � �.1�—
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