HomeMy WebLinkAboutHomestead_Williams (7)CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION HC10
State Fomt 5473 (R2 / 5 -92)
INSTRUCTIONS: See reverse side for tiling instructions. Tn it cu TM, TN
9, e) LC__J , -mcA,4 „, certify that on the Irmo 11P5
11We) occupied as our principal place of re k ence t following described real property for which a eomestead Property Tax �Credit is hereby claimed:
AEZP I (We) owned ❑ Are buying under contract WY�M1�'' 11 I
Have a beneficial interest in the emit that is liable for the property taxes on the properly and that owns the roe or is buy In�j`LnO)e O�nt�`
I. Y P P Y P P Y - property rty
- CONTRACT RECORDED -
It buying on contract. Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
ASSESSOR USE ONLY
” PROPERTY DESCRIPTION
County ..
Township
Taxing district (city,. town, township)
Parcel number
Legal description
oc� y -oo
the above statements are true, correct and complete.
If 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.
r and sveet. raty, state, ZIP code)
ASSESSOR USE ONLY
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
mty
HOMESTEAD
VALUE
Township
County
Township
I hereby certify
the above statements are true, correct and complete.
Signature of claimant
Address (
r and sveet. raty, 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)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 pUs line 7)
(6)
1 hereby certify the above is true, correct, and
plete.
Signature of Assessor
Date signed
.ryug action - Signature of Auditor
ti
I Date signed
19_Pay 19_
Lesser of 1/2 Homestead
Valuation or S2,000
of Auditor
DEDUCTION ALLOWANCE