HomeMy WebLinkAboutHomestead_Galbraithe Rx� CLAIM FOR HOMESTEAD PROPERTY TAX
i CREDIT /STANDARD DEDUCTION
State Form 5.473 (R215-92)
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INSTRUCTIONS: See reverse side for filing instructions.
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I (We) (� ( C!c� �L �)%rl { nLfl/1/ -H// r_ certi t on�t da Mar , i9
I /We) occupied as our principal place of residence the following described real property for which a Homeste I A ed
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 under a contract.
_ CONTRACT RECORDED ;,� •: ••
If buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
' PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
PROPERTY DESCRIPTION - - -
County
Township
Township
Taxing district (city, town, township)
Parcel number
Legal description
/ao
It any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce income. describe the use and portion
of the property utilized to produce income.
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' PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Township
reby certify the above statements are true, correct and complete.
Signatur Jf claimant
ress (number and street, ary, state. ZIP code)
Otherland
RP, 1 BOX a
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ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL ,
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Otherland
(2)
'
Total land (line I plus line 2)
(3)
Residential improvements
Dwelling
(4)
-
Garage
(5)
.
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(6)
I hereby certify the above is true. Correct, and
complete.
Signature of Assessor
Date signed
verifying action - Signature of Auditor
r�
Date signed
STANDARD DEDUCTION ALLOWANCE" F _>,
19_Pay 19_
Lesser of 112 Homestead
$
Valuation or $2,000
Signature of
Date
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