Homestead_Fisk0 sr," CLAIM FOR HOMESTEAD PROPERTY TAX
�° CREDIT /STANDARD DEDUCTION
��• i State Form 5473 (R215-92)
INSTRUCTIONS: See reverse side for filing instructions.
F1 YEAR
OCT 25 2000
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.
ONTRACT RECOR D
If buying on contract, Fee Simple o (s re
Recorders office where contra t is recd - Reco number
Page
PROPERTY DESCRIPTION
County
Township
Taxing district (city. town, township)
PgyeI number
Legal description
If any potion of the residential structure or the land not exceeding one (I) acre that im drate urrou ds at structure is used to pro uce income, describe the use and portion of
the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County
Township
County
Township
®ereby certify the above statements are true, correct and complete.
Sign ure of claunant
Xm
Ad ress n mber a stre ,
'ty, stare,
e)
I
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
M
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Otherland
(2)
Total land (line 1 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 plus line 7)
(8)
1 hereby certify the above is true, correct, and
complete.
Signature of Assesor
Date signed
Verifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19
Lesser of 1/2 Homestead
Valuation or S2,000
S
Signature of Auditor jy 't�-
Dat /s}q)netl
V 5-Oc�