HomeMy WebLinkAboutHomestead_Hamm (2)• CLAIM FOR HOMESTEAD PROPERTY TAX yEAR
FORM
CREDIT /STANDARD DEDUCTION HC10 7 (�
State Form 5473 (R2/1 -90)
• INSTRUCTIONS: See reverse side for filing instructions.
II,�
CERTIFICATION STATEMENT
I (We) 1L 1Ta/Y�t/ n certify that on the 1st day of March , 19 �L
I (We) occupied as our principal place of residence the following described real pro =rn-der mestead
&operty Tax Credit is hereby claimed: (�(We) owned contract
Have a beneficial interest in the entity that is liable for the property taxes On th%pWpe0VaM j1at owns the
property or is buying it under a contract.
CONTRACT RECORDED
If buying on contract, Fee
Recorder's office where contract is
PROPERTY DESCRIPTION
County I Township
Record Number I Page
town
Rrggl Nuytt e�31-OD I Legal Description &]+ i YAP-0 /U 1/91, _
If any portion of the residential structure or the land not exceeding one (1) acre 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
County
Township
County
Township
*reby certify the above statements are true, correct and
..nplete.
Signalur
Address (Street, number, city, state and ZIP code)
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL
VALUE
Land not exceeding t (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
Lesser of 1/2 Homestead
19— Pay 19—
Lesser of 112 Homestead
Valuation or $2,500
(2)
Valuation or $1,500
Valuation or $1,500
(3)
Signature of Audi
(4)
(5)
(6)
(7)
(8)
1 hereby certify the above is true,
correct, and complete
Signature of Assesor
Date Signed
rfilying Action - Signature of Auditor
Date Signed
STANDARD DEDUCTION ALLOWANCE
S1989 Pay 1990
esser of 1/2 Homestead
1990 Pay 1991
Lesser of 112 Homestead
1991 Pay 1992
Lesser of 1/2 Homestead
19— Pay 19—
Lesser of 112 Homestead
Valuation or $2,500
Valuation or $2,000
Valuation or $1,500
Valuation or $1,500
Signature of Audi
Date Signed
5- /o -