HomeMy WebLinkAboutHomestead_Mills�• LAIM FOR HOMESTEAD PROPERTY TAX
d/� ^•4s
CREDIT /STANDARD DEDUCTION
State Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT
FORM YEAR
HC10
that on the 1 st day of March , 19 =�
I (We) occupied as our principal place of residence thhe, following described real property for which a Homestead
perty Tax Credit is hereby claimed: ([� ](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 it under a contract.
CONTRACT RECORDED
If buying on contract, Fee Simple Owner's Name
Recorder's office where contract is recorded Record Number Page
ownship
PROPERTY DESCRIPTION
axing Diiclt (,Qjty, town,
Ur(p - J)b3L I I N-aA 45Ac w ( t&AA1n!�-- Cam.
It any portion of the residential structure or the land not exceeding one (1) acre that immediately
ture is used to produce income describe the use and portion of the property utilized to produce
struc-
Don DCDTV nWNFn RV CI AIMANT IN OTHER COUNTIES , ti tt 144(1
County
Township
County
Township
W esser of 1/2 Homestead
(2)
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
.reby certify the above statements are true. correct and
ALI
Signature gUpITOR
.- iplete.
Valuation or $1,500
Address (Street, number, city, state and 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
Other land
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—
W esser of 1/2 Homestead
(2)
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
Valuation or $2,500
(3)
Valuation or $1,500
Valuation or $1,500
(4)
Signature of Auditor
(5)
71.
0
(6)
(7)
(8)
1 hereby certify the above is true, Signature of Assesor
correct, and complete
Verifying Action - Signature of Auditor
Date Signed
Date Signed
ornninAon nCn11rT1nA1 Al I nWANCF
1989 Pay 1990
1990 Pay 1991
1991 Pay 1992
19 — Pay 19—
W esser of 1/2 Homestead
Lesser of 1/2 Homestead
Lesser of 1/2 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
71.
0
— 11 - - -- —