Homestead_MeyerCLAIM FOR HOMESTEAD PROPERTY TAX YEAR
CREDIT /STANDARD DEDUCTION. o
.,;• State Form 5473 (R215 -92) Mi1Y n
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INSTRUCTIONS: See reverse side for filing instructions. -
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—VIA _ t 1d G1 certify. that on the 1st day of March, 19_
occupied as our cipal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
❑ I (We) owned ❑. Are buying under contract
❑ Have 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 DESCRIPTION - -
County
Township
Taxing di (city, town, township) -
Paar'cell number
Legal description -
�/
I I
If any portion of the residential stmcture or the land not xceeding one (t) acre that 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 -
eby certify the above statements are true, correct and complete.
n re of claima
Address (number and street, city, 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 $2,000
Signature o Witor
Other land
(2)
-
Total land (line 1 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 pbs line 7)
(6)
I hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
Waction - Signature of Auditor
Date signed
- STANDARD DEDUCTION ALLOWANCE
19 _Pay 19_
Lesser of 112 Homestead
S
Valuation or $2,000
Signature o Witor
Date signed
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