HomeMy WebLinkAboutHomestead_Evansa „ CLAIM FOR HOMESTEAD PROPERTY TAX
; CREDIT /STANDARD DEDUCTION
State Form 5473 (132 / 5 -92) -
INSTRUCTIONS: See reverse side for filing instructions.
FEB 2. 1993
1 (We) ` _ _ VX 17A certify. that on the 1st day of March, 19 Z
1 (We) occupied as principal place of residence the following described,real property for which a Homestead Property Tax Credit is hereby claimed:
❑ 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 property or is buying under a contract.
CONTRACT RECORDED
It buying on contract, Fee Simple owner's name -
Recorder's office where contract is recorded Record number Page
I _
PROPERTY DESCRIPTION
County
Township -
Township
Taxing district (city, town, township)
Par el Ilo number - 0
Legal description
m a
It any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the LLe and portion
of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES.
County
Township
County
Township
I hereby certify the above statements are true, correct and complete.
Signature of claimant
'ress (number and street, city, state, ZIP code)
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
- - - -
Other land
(2)
Total land (line I 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 pfu line 7)
(g)
I hereby certify the above is true, Correct, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
- - - a - STANDARD DEDUCTION ALLOWANCE -
1 - 19 _Pay 19_
Lesser of 1/2 Homestead
S
Valuation or $2,000
Signature of Auditor
Date ned
-a-