HomeMy WebLinkAboutHomestead_Dye (2)•^ • CLAIM FOR HOMESTEAD PROPERTY TAX
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CREDIT /STANDARD DEDUCTION
State Form 5473 (R2/1 -90)
�Y INSTRUCTIONS: See reverse side for filing instructions:
I (We)
CERTIFICATION STATEMENT
certify that on the
211_11j'0 ..
19
I (We) occupied as our principal place of residence the following described real property for which a Homestead
Property Tax Credit is hereby claimed: NLJ!r(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
property of is buying it under a contract.
CONTRACT RECORDED
If buying on contract. Fee Simple Owner's Name
Recorder's office where contract is recorded Record Number Page
PROPERTY DESCRIPTION
County , Tow7oiP Taxing District (�itv, town, township)
Parcel N
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If any portion of the residential structure or the land not exceeding one (1) acrd 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
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ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements
Other land _
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—
Lesser of 1/2 Homestead
(2)
Lesser of 1/2 Homestead
Lesser of 112 Homestead '
Valuation or $2,500
(3)
Valuation or $1,500
Valuation or$11500
(4)
Signature of Auditor
(5)
(6)
(7)
(8)
I hereby certify the above is true,
rrect, and complete
Signature of Assesor
Date Signed
Verifying Action - Signature of Auditor
Date Signed
STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990
1990 Pay 1991
1991 Pay 1992
19 —Pay 19—
Lesser of 1/2 Homestead
Lesser of 112 Homestead
Lesser of 1/2 Homestead
Lesser of 112 Homestead '
Valuation or $2,500
Valuation or $2.000
Valuation or $1,500
Valuation or$11500
Signature of Auditor