HomeMy WebLinkAboutHomestead_Myers44.� 1231/115/ ---1
CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT/STANDARD DEDUCTION HCio .
State Form 5473 IRS / 10-01)
Prescribed by the Department of Local Government Finance 1-01
TRUCT12ONY :Seer !2r! side for filing i stru i s
it IT 2002
cerli 11,; the 1st d y o
I (We) hj
Y, r ', j
I (W upied as our principal place of residence the followi5�5�bed real propejy to which a HomestaP Taxor&A� jtiel.
SON COUN I -
VI(we)owned F-1 Are buying under contract GiB
aHave 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.
CO CT!RECORDED-,
If buying on contract. Fee Simple owner's name
Recorders office where contract is recorded Record number Page
YROPERTY'DESCRIP.T164;
County
Twnship , -
town, township)
Parcel number
Legal description
Is the property in question:
�W.
ass (n=,fnTeet, city, state, ZIP IQde) A
1,61, I
❑ Real property Q� Home (I.C. &
portion of the residen 7struc
lriri�y MM, lure 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 od .
7y
00 To
-7L
-PR-O-P.-E-kTY6WNE6BYCLklM-4NtIN6THEit-Ci)UNTIES"Za *-"'-"".-rC'W,*"-,F.1-
County
Toomship
County
Township
I hereby certify the above statements are true, correct and complete.
Si w ant
m::d
ass (n=,fnTeet, city, state, ZIP IQde) A
1,61, I
WiAi��ESSO'WUSE&NLY-'--
ASSESSEDNALUE
z; --.HOMESTEAD 4':je.
-':VALUEfV�'!
•i;,TRUE-TAXI:---- 6 �K'- NONRESIDENTIAL. ,--2
Lesser of 1/2 Homestead
VALUE
Valuation or 56,000
Signature of Auditor
Land not exceeding 1 (one) acre immediately
Date signed
surrounding residential improvements.
Other land
(2)
Total land (line I plus line 2)
(3)
Dwelling
(4)
Residential improvements
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is true, correct. and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
-,ZSTANDARD.DEDUCTION ALLOWANCE
20 _ Pay 20_
Lesser of 1/2 Homestead
S
Valuation or 56,000
Signature of Auditor
Date signed