Homestead_Hightower, ney
CLAIM FOR HOMESTEAD PROPERTY TAX EEF19? AR
CREDIT /STANDARD DEDUCTION
+. /e State Form 5473 (R215 -92)
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IN STRUCTIONS: See reverse side for filing instructions.
(c @�t1UU. �I(�1h0 ui_�rn d Y' uuunant wanes
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' e) certify. that on the 1 si day of March, 19
e occupied as our principal pTac residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
M(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
County Township County Township —�
y certify the above statements are true, correct and complete. - m, alma
re (number and street, dry. state. ZIP code)
ASSESSOR USE ONLY
PROPERTY DESCRIPTION
County
Township
Taxing distri try, town, ownship) 0j tL4—
Parcel number
o i - o�saa -oo
Legal descripbo
a P+ to
If any portion of the residential structure or the land not exceeding one 11) acre t I immediately surrounds 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 —�
y certify the above statements are true, correct and complete. - m, alma
re (number and street, dry. 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 S2,000
Signature of Auditor
Other land
(2)
If
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 pf4s line 7)
(6)
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
tying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19 _Pay 19_
esser of 1l2 Homestead
S
Valuation or S2,000
Signature of Auditor
Date si ned
If