HomeMy WebLinkAboutHomestead_Dickey°^ <, CLAIM FOR HOMESTEAD PROPERTY.TAX FORM YEAR
xl. -- CREDIT /STANDARD DEDUCTION Hc10 9`Q
State Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for filing instructions.
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CERTIFICATION STATEMENT
I (We) _ certify that on the 1st day of Marcfi , 19 IL
I'll We) occupied as our principal place of idence theme, f /oll owing described real property for which a Homestead
operty Tax Credit is hereby claimed: LJd I (We) owned (] Are buying under contract
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the
El _prQDWVgj6jisn6i&inq it under contract.
CONTRACT RECORDED
If buying on contracA(fee Simple Owner's Name
_
IM l l t �1 tt��
Recorder's office where contract is recorded Record Number Page
AUDR
County . Township Taxing District (City, town, township)
cel Number 8.00 Legal Description
If any portion of the residential structure or the land not exceeding e:(1) ace that immediately surrounds that struc-
ture 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 - I I County - Township
certify the above statements are true. correct and
Address (Street, number, city, state
IAdd Soo R '
IMP r/ /70 ASSESSOR USE ONLY
_4
TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements
Otherland
Total land - line (1) plus line (2)
Residential improvements _Dwelling
Garage
Other improvements
Total improvements - line (4) through line (6)
Total value - line (3) plus line (7)
-
(1)
1991 Pay 1992
19— Pay 19—
�1989
Lesser of 1/2 Homestead
(2)
Lesser of 112 Homestead
Lesser of 112 Homestead
Valuation or $2,500
(3)
Valuation or $1,500
Valuation or $1,500
(4)
Signature of Auditor
(5)
(6)
(7)
(8)
I hereby certify the above is true,
correct, and complete
Signature of Assesor
Date Signed
Verifying Action - Signature of Auditor
Date Signed
STANDARD DEDUCTION ALLOWANCE
Pay 1990
1990 Pay 1991
1991 Pay 1992
19— Pay 19—
�1989
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
Lesser of 112 Homestead
Lesser of 112 Homestead
Valuation or $2,500
Valuation or $2,000
Valuation or $1,500
Valuation or $1,500
C
Signature of Auditor
Date Signed
51