HomeMy WebLinkAboutHomestead_Frederick (4)EYE n` rF
e a CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R2 / 5 -92)
reia
INSTRUCTIONS: See reverse side for filing instructions.
FORM YEAR
C10
rl 11
27 1993
W LAJ " "/"� �ihe 1 st day of March. 19�
occupied as our principa ace of residence the following described real property for which a estea roperty Tax Credit is hereby claimed:
t (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
If buying on contract. Fee Simple owner's name
Recorders office where contract is recorded Record number Page
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
PROPERTY DESCRIPTION
County
Township
Township
Taxing district (c it , town, township) ,
Signature a4cfalmant
�w4z� Pr
A dress (number and street, city. state, ZIP code,
/?/
1
Signature of Auditor
Parcel number
Legal descr
n
46;/41 U
I( - 003-73
�
If any portion of the residential structure or the land not exc6pling
one (11 acre that immediately surrounds that structure is us Ad to oduce income, describe the use and portion
of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County -_
Township
County
Township
® eby certify the above statements are true, correct and complete.
Signature a4cfalmant
�w4z� Pr
A dress (number and street, city. state, ZIP code,
/?/
7 6
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
Otherland
(2)
Date signed
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 plus line 7)
(6)
I hereby certify the above is true. Correct, and
complete.
Signature of Assessor
Date signed
aging action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19 _Pay 19_
Lesser of 1/2 Homestead
S
Valuation or $2,000
Signature of Auditor
Date signed