HomeMy WebLinkAboutHomestead_Leist• ^R, CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R2/1 -90) �(v�g
INSTRUCTIONS: See reverse side for filing instructions.
(We) Q)a�4 Q.
CERTIFICATION STATEMENT
FORM -_ YEAR
HC10 T_ O
certify that on the 1 st day of March , 1990
4 (We) occupied as our principal place of residence the following described real property for which a Homestead
Property Tax Credit is hereby claimed: ❑ I (We) owned 4; re buying under contract
El ' 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 it under a contract.
CONTRACT RECORDED
If buying on contract. F e S ple w
is Na
1991 Pay 1992
Recorder's office where contract is recorded
Record Number
Page
County
t
DESCRIPTION
- bnSSo -ov
Parcel Number I Legal Descri�n �V �� tJ , "FTT -T?
6/& -oOS O-vo ,_„�s „
If any portion of the residential structure or the land not exceeding obe (1) acre'that immediately`Mr =R" a9'P3ff
ture is used to produce income describe the use and portion of the property utilized to produce income.
I I u_ I _ NOV 2 71990
PROPERTY OWNED BY CLAIMANT IN OTHER
County
-I hereby certify the above statements are true, correct and Signatur
complete. et
Address (Street, number, city, state and ZIP code)
ASSESSOR USE ONLY - TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON -RESIDENTIAL
VALUE
Land not exceeding I (one) acre immediately
surrounding residential improvements
Otherland
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
19— Pay 19—
Lesser of 1/2 Homestead
(2)
Lesser of 112 Homestead
Lesser of 1/2 Homestead
Valuation or $2,500
(3)
Valuation or $1,500
Valuation or $1,500
(4)
- - - -
-
(5)
p .
. C10
(6)
(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
1989 Pay 1990
1990 Pay 1991
1991 Pay 1992
19— Pay 19—
Lesser of 1/2 Homestead
Lesser of 112 Homestead
Lesser of 112 Homestead
Lesser of 1/2 Homestead
Valuation or $2,500
Valuation or $2.000
Valuation or $1,500
Valuation or $1,500
Signature of Auditor
Date Signed
p .
. C10
a