Homestead_Bighama +p
a ; CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION = HC10
. .�` State Form 5473 (R215 -92)
INSTRUCTIONS: See reverse side for filing instructions.
E y� V`J certify that on the 1st day of March, 19
occupied as our principal place of res��ithe Ilowfn de ri real property for which a Homestead Properti� ypiggd:.
We) owned ❑ Are buying uTISC,act �� JI,}a - dl)11).. J1tl,
❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or j%kgkin&Vnde:_contracl.
_ - CONTRACT RECORDED If buying on contract. Fee Simple owner's name -S
AUDITOR
Recorder's office where contract is recorded Record number Page
- PROPERTY DESCRIPTION
County
Township
Taxing district (city, town, townsh t
(P ber �p /y
V
Legal description
It any portion of the residential structure or the land not exceeding one (1) acre thJj immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township
County
Township
�reby certify the above statements are true, correct and complete.
Signature of claimant
Address (number and street, city. state, ZIP code)
N
Valuation or $2,000
ASSESSOR USE ONLY
TRUETAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
-
Other land
(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 jobs line 7)
(6)
I hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
tying action - Signature of Auditor -
Date signed
STANDARD DEDUCTION ALLOWANCE
19_Pay 19_
Lesser of 112 Homestead
$
Valuation or $2,000
Signature of Auditor
Date si ne