HomeMy WebLinkAboutHomestead_Erwine� CLAIM FOR HOMESTEAD PROPERTY TAX .
CREDIT /STANDARD DEDUCTION
S, e Form 5473 (821592)
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STRUC TIONS: See reverse side for (Ding instructions.
as our principal place of residence the following described
(We) owned ❑ Are buying under contract
Have a beneficial interest in the entity that is liable for
It burying on contract. Fee Simple owners name
where contract
FORM YEAR
HC10
certify that n e -' -`ray of March, 19_
,y'0� rIf mp,i , : ,;redit is hereby claimed:
pro rt ..+d r my or is buying under a contract.
\ ,zbrd number Page
PROPERTY DESCRIPTION
County
Township
Taxing district.(aty, town ship) 7r '
Parcel r mber
Legal d
/ _
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If any portion of the residential structure or the lard not exceeding one ( 1 aria that edately suri6unds 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
by certify the above statements are true, correct and complete.
�
Signature of claimant
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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.
(1)
Valuation or $2,000
Signature of Auditor Date signed Q
Other land
(2)
Total land (line-) 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 pins line 7)
(6)
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
Ventymg action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19_Pay 19_
Lesser of 1l2 Homestead
$
Valuation or $2,000
Signature of Auditor Date signed Q