HomeMy WebLinkAboutHomestead_Cochrenas CLAIM FOR HOMESTEAD PROPERTY TAX FORM
CREDIT /STANDARD DEDUCTION HC10
• State Fonn 5473 (R2 / 5 -92)
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INSTRUCTIONS: See reverse side for filing instructions.
GEHTIFIGATIUN STATEMENT 1
I (We).� =;—,4::!��7erjfy that on the 1st day of March, 19!&
upied as our principal plat of residence a following des abed real property for which a Homestead Pr pax f niD hereby claimed:
I (We) owned ❑ Are buying under contract r
❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns thi,Q9rj6itiuyyJ r�a contract.
CONTRACT RECORDED
If buying on contract,. Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES I
certify the above statements are true, correct and complete.
and street, city, state, ZIP code)
ASSESSOR USE ONLY
PROPERTY DESCRIPTION
County
Township
NON-RESIDENTIAL
VALUE
Taxing dislricry. to , ! nshrp)
Parcel nu ber
_2
Legal de r lion
1
It any portion of the residential structure or the land not exceed
of the property utilized to produce income.
one (1) acre that immediately surrounds that structure is used to produce income. describe the use and portion
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES I
certify the above statements are true, correct and complete.
and street, city, state, ZIP code)
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON-RESIDENTIAL
VALUE
Land not exceeding t (one) acre immediately
surrounding residential improvements.
(1)
Valuation or $2.000
'
Other land
(2)
Total land (line I plus line 2)
(3)
Residential improvements
Dwelling
(4)
Garage
(5)
I
_
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 p1/s line 7)
(g)
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19�&Pay 19
Lesser of 1/2 Homestead
$
Valuation or $2.000
Signal of Auditor
Date signetl