Homestead_Hill (2)a CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
sal: CREDIT /STANDARD DEDUCTION FI o L I
.•.vy ,,;� State Form 5473 (R2 / 5 -92)
INSTRUCTIONS: See reverse side for /fling instructio s. APR 16 1993
CE TION S EMENT
_ AP91TOR 3
I
""'4' Wcerti t at on the 1st day of March, 19-1
,e) occupied as ou rincipal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
LJ l(We)owned WAre 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 owners n me
Recorder's office where contract is recorded Record number 1page
PROPERTY DESCRIPTION
County
County
Townshi
Township -_
Taxing di bt (CJ to n, township)
I
Signature of claimant
Parcel number
��(^�
W �J1.J
Legal description
Legal
.
Otherland
If any portion of the residential structure or the land not exceeding one (1) arse that im n imply surrounds that stmctu, ' us to
of the property utilized to produce income. �1
r yce income, describe the use and portion
111.J�1- t .S
q
If A U
- PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Township -_
reby certify the above statements are true, correct and complete.
9
Signature of claimant
Atldress (number and street. city, state, ZIP code)
ASSESSOR USE ONLY
TRUETAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
.
Otherland
(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 plus line 7)
(6) •-
I hereby certify the above is true, Correct, and
complete.
Signature of Assessor
Date signed
ying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19_Pay 19_
Lesser of 1/2 Homestead
valuation or 52,000
S
Signature of Auditor
Date i ed