Homestead_Alvey (2)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
.„ State Form 5473 (R2/5 -92)
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INSTRUCTIONS: See reverse side for filing instructions.
FORM I YEAR
HC70 ;
'FEB 18 1994
v�r..rw Izi
f A��f1
'e) _ - .. certify that on the 1st day of MSh41,r -t�
'e) occupied as our prin ipal place of residence the followjDg described r only for which a H estead Property Tax Credit is hereby claimed
I (We) owned ❑ Are buying under contract (Q 01-1 � Cllr
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 owner's name
Recorder's office where contract is recorded Record number Page
PROPERTY DESCRIPTION -
County
Township
Taxing '/ rict (d , town. township) '
Township
�reby certify the above statements are true, correct and complete.
it
MAN re aimam
Parcel number
Legal desc
�ption
plLe- DSO -00�
(2)
d
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is us to produce income. describe the use and portion
of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
Goumy
Township
�reby certify the above statements are true, correct and complete.
it
MAN re aimam
ss (number app' stree ty state. ZIP code -
1
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 3lobs line 7)
(g)
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
tying action -Signature of Auditor
Date signed
19 —Pay 19_
Lesser of 1/2 Homestead
Valuation or $2,000
ALLOWANCE