HomeMy WebLinkAboutHomestead_Nixon (2)ea ; CLAIM FOR HOMESTEAD PROPERTY
s� CREDIT /STANDARD DEDUCTION
State Form 5473 (R215 -92)
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INSTRUCTIONS: See reverse side for filing instructions.
TAX
FILED
NOV 3 01992
FORM
HC1D
• CERTIFIOATIUN STATEMENT - - -
I (WOE certify that on the 1st day of March, 19�
I (We) occupied as our principal place of esidence the tot ing describe al which a Homestead Property Tax Credit is hereby claimed:
t.(We) owned El Are buying under contract
1 1 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.
i
CONTRACT RECORDED
If buying on contract, Fee Simple owner's name - -
Recorder's office where contract is recorded Record number Page
'
PROPERTY DESCRIPTION
County
Township
Taxing distr (city, town, to shi -
Parcel riumber
Legal scnption
n
It any portion of the resident I structure or N
of the property utilized to produce income.
land not exceeding one (1) acre that immediately surrounds that stmcture is used to produce income, describe the use and portion
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Townshi
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
hi
(1)
I hereby certify the above statements are true, correct and complete.
Sic1rty.�w,pf claimant
�l"�,I11�
ress (number and street, city state, Z!P code)
R,1 ox S� r` +
Z- A2- qlW.C,
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 1 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 plrs line 7)
(8)
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
_
19P Pay 1SjZ�Z
Lesser of 1l2 Homestead
Valuation or $2,000
S
Signat f Autlitor
Date signed