HomeMy WebLinkAboutHomestead_Manninge� °a CLAIM FOR HOMESTEAD PROPERTY TAX
!; CREDIT /STANDARD DEDUCTION
State Form 5473 (11215-92)
INSTRUCTIONS: See reverse side for filing instructions.
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certify that on the 1 st day of March. 19�5
4`) occupied as our principal place of residence the following described real property for wl c a Homestead Property Tax Credit is hereby claimed:
rl(We) owned ❑ Are buying under contract .
�ave 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
It buying on contract. Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
PROPERTY DESCRIPTION
County
Township
Taxing
re of claimant
MM'
a,s�d
Parcel number
DoSo9 -DO
Legal description
1
It any portion of the residential structure or the land not exceeding one (1) aae that immediately surrounds t a+ 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 C
County Township
_oy certify the above statements are true, correct and complete. r
re of claimant
u
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON - RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements. (1) '
Otherland (2)
Total land (line I plus line 2)) (3)
Dwelling (4)
Residential improvements
Garage (5)
Other improvements (6)
Total improvements (line 4 through line 6) (7)
Total value (line 3 plts line 7) (6)
1 hereby certify the above is true, correct, and Signature of Assessor I Date signed
complete.
?action - Signature of Auditor Date signed
19_Pay 19_
Lesser of 1/2 Homestead
Valuation or S2,000 S
IDate
19_Pay 19_
Lesser of 1/2 Homestead
Valuation or S2,000 S
IDate