HomeMy WebLinkAboutHomestead_SchmittxyE fiErE
CLAIM FOR HOMESTEAD PROPERTY TAX
3 CREDIT /STANDARD DEDUCTION
•';, State Form 5473 (R2/5-92)
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INSTRUCTIONS: See reverse side for filing instructions.
. W1111
APR 17 1999
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LJKc �fi2Bq/LA Cyn7v ri AUDI T c Ify that on the 1st day of March, 199.5
occupied as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
WI (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 "
It buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
'
PROPERTY DESCRIPTION
County
& �/3so.✓
Towns i -
C
Taxing district (city, town, township)
Township
0c1cmr311}
Signature of Auditor
Signature of claimant
Parcel number 7 %
9-
Legal description
(2)
0o3- 00 of)
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.
(3)
27:7—aeJ-5
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES _
County
Township
HOMESTEAD
VALUE
County
Township
�eby certify the above statements are true, correct and Complete.
Signature of Auditor
Signature of claimant
Address (number and street, dry, slate, ZIP code)
2 13ox &c,,v pisr<ti} i C
E 1� 7LC
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE,
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Signature of Auditor
Date signed
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 pUs line 7)
(6)
I hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
.y.ifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE "
19 _Pay 19_
Lesser of 1/2 Homestead
Valuation or $2,000
S
Signature of Auditor
Date signed