HomeMy WebLinkAboutHomestead_Dowden (2)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R215 -92)
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INSTRUCTIONS: See reverse side for filing instructions.
FORM YEAR
HC10
ve)p„x}_ - _ Y\ P'! 11 �j'�N v"�' • L_�,a��F certify that on the 1st day of March, 19
_) occupied as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
�e) owned ❑ Are buying under contract .., _ �11U�p�
❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property o s bu�nLn a ac
RECORDED
-
If buying on contract. Fee Simple owners name
a
" PROPERTY DESCRIPTION
County
Township
Taxing dis c (ily town vns )
1
P rcel u ber
Ua�O V
Legal description
S
Valuation or $2,000
It any portion of the residential structure or the land not exceeding one (1) acre that immediately Burr n that structure is Lked to pr income, descdbe the use and portion
of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Town=-;- - Town=
eby certify the above statements are true, correct and complete. Signature of claim 4
Address (number and street. city, state. ZIP code) L /
✓C -I, 4 Q
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
S
Valuation or $2,000
Signature of Auditor
Otherfand
(2)
Total land (line I plus line 2))
(3) -
f
Residential improvements
Dwelling
(4)
"
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 jobs line 7)
(g)
1 hereby certify the above is true, correct. and
complete.
Signature of Assessor
Date signed
fying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19_Pay 19_
Lesser of 112 Homestead
S
Valuation or $2,000
Signature of Auditor
Date signed