Homestead_Zeisler'..� ' ' _" y� .. . _ ._ . . :�
..••TR CLAIM FOR HOMESTEAD PROPERTY TAX
d�A4 CREDIT/STANDARD DEDUCTION
j r-� ti ';
.•.,�' State Form 5473 (R2/1-90)
. INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT
FORM
HC10
YEAR
on the 1 st day of March , 19 �
I(We) occupied as our principal place of residence t,�he, f�ollowing described real property for which a Homestead
Property Tax Credit is hereby claimed: Ll�l (We) owned . ❑ Are buying under contract
� Have a beneficial interest 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.
CONTRACT RECORDED
If buying on contract. Fee Simple Owner's Name
Recorder's office where contract is recorded
County
Record Number Page
PROPERTY DESCRIPTION -
Taxj{�g_Districl (City, town,
�i�e�b���a�U I Legal Description L�- ��
�i I
If any portion of the residential structure or the land not exceeding one (1 acre thai imme iately 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 - County .
I hereby certify ihe above statements are irue. correci an
Address (Sireet, number. city. state
ASSESSOR USE ONLY TRUE TAX VALUE _ASSESSED VALUE HOMESTEAD VALUE NON•RESIDENTIAL
- VAWE
Land noi exceeding 1(one) acre immediatel'y � '
surrounding residential improvemenis (�)
Otheriand (2)
Total land - line (1) plus line (2) (3)
� Residential improvements Dwelling � - (4) - � - - �
Garage (5)
Other improvements (6)
Total improvemenis - line (4) [hrough line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify ihe above is true, Signature of Assesor Date Signed
correct, and complete
Verifying Ac[ion - Signature of Auditor Date Signed
1989 Pay 1990
Lesser of 7/2 Homestead
Valuation or $2,500
Signature of Auditor
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991 7 991 Pay 1992 19 — Pay 19 _
Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of t/2 Homestead
Valuation or $2,000 Valuation or 51,500 Valuation or 57,500
ir.�