HomeMy WebLinkAboutHomestead_Marling�CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
h State Form 5473 (R2 / 5-92)
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INSTRUCTIONS: See reverse side for filing instructions.
FORM
HC10
YEAR
CERTIFICATION STATEMENT
1 (We) S certify that on the 1st day of March, 19_
,I - (Wei) occupied as our principal 6ce of residence the following described real property for whi h a Homestead Property Tax Credit is hereby claimed:
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 owners name
Recorder's office where contract is recorded
Record number
Page
PROPERTY DESCRIPTION
County
To p -
(�
Taxing d rift (dity, town, township)
I
Parcel number -
Legal description
SCJ
Ii any potion of the residential stmcture or the IarW not excee s ne (1) acth that immediately surrounds that structure is used to produce income, describe the use and potion of
the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County
Township
County
Township
�reby certify the above statements are true, correct and complete.
nature of claimant
�• -
Address (number and street, City, state, ZIP code)
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)
MAY
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
GIB SON COU
rTy AUD
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is true, correct, and
complete.
Signature of Assesor
Date signed
Verifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19
Lesser of 1/2 Homestead
Valuation or 52,000
S
Signature of Autlitor
\ Date
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