Homestead_Austill�c
CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDI � /STANDARD DEDUCTION
Stabs Form 5473 (R7 / 54M
Prescribed by to Depatrnent of Local Goverm ent Rnanm
INSTRUCTIONS: See reverse side for !ling instructions. 8
-: CERTIFICATIMI STATENEW. ` ' '
Sri tow:
I (We) certify that on the 1 st �(
I (We) ocapied as cipal place of residence the following described real property for which a Homestead Property Tax C,redit�4 clla �
I (We) owned ❑ Are buying under Contract GIBSO
Have a beneficial interest in the entity that is liable for the properly taxes on the property and that awns the property or is buying under a contact-
-:: CONTRACT:RECORDED,,, .. �.. ,ri ✓ ,. ' '. „ null .t 5 a..'C`yf?M�ks
N huyog on ..b Fee Simple owners name
RecordWs offxe where Cairact m recorded Record number Page
a- -PROPERTY 0 ESCRIPAM
I n k+t9gs
Coxany
Twnstup
Tang
(dy rorns/up)
red
., T 100% OF V
Legal description
the property in question: '
I
�,
JA
❑ Red properly ❑ 'b Home (LC. 6-1.1 -7) -
oeor the sox eazedxrg aria (1) aue drat in anhr fhd sbticbre s used to prodtxe ncoma. describe aria use and patios
ff emre p nabf®d m producast /mxds
jgzp
.: ,.q .. �... _
PROPERTY OVYWEDBY,CLAIYANT Oi BOTHER COUtiTgS- .. -
County
Township
County
Township
I hereby codify One above stabacnents are true. Ctmeal and canykte.
SW.W of ddrnard
., T 100% OF V
yeos (nwdwand
) 0
I
f I
-
- .y . -• " ..,. l tf
�.
- .ASSESSED ViT UE
FIOiff_STEAD +..
'r ON;. r :.
ASSESSOR USE ONLY =
.TRUE.TAX
YALUE•
., T 100% OF V
VALUE
w
I
.•
Land not exceeding 1 (one) acre imredatey
; °+?-'
surrounding residential xrnprovernennm.
Other land
(2)
Tdai land (Itre 1 ptu &m 2)
(3)
Dwelling
(4)
e
Residential anlpfOV @RIef115 or Annually
Garage
t Y r•t j x .�' li
G an ll>z t .-(�(a�
Assessed Mobile / Marx fad Horne
(�
{� c
'
tt.{AJ
Other "vnprovernernls
(6)
Trial vnprwemenls (fare 4 6vough 6ne 6)
(7)
Total value (lbe 3 pds fine 7).
(3)
1 tereby certify One above is true. correct, and
carnplete.
SgnaMm of Asae�
Dam signed
Veifying action - Sigrm4ae of An iimr
Dam signed
STANDARD DEDUCTION' ALLOWANCE
20 _ Pay 20_
Lesser of 12 Homestead
Valuation or 535,000 $
Sgndtxa of Auditor
Dam sigrmd