HomeMy WebLinkAboutHomestead_Mitchell (2)CLAIM FOR HOMESTEAD PROPERTY TAX
UP CREDIT /STANDARD DEDUCTION
State Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT
FORM YEAR
1� HC10
M ��r-
I (We) certify that on the 1st day of March , 19
i/Ve) occupie as ou rin al place of residence the follgwing described real propertPAYvh�dh AWmestead
roperty Tax Credit is hereby claimed: L,U�I /(We) owned ❑ e-buym u der contract
;. s
❑ Have a beneficial interest in the entity that is liable for the property taxes on the prop erJ��1�Mt wns 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
PROPERTY DESCRIPTION
town, township)
Legal Description
If any portion of the residential structure or the land not exceedinq(_jne (1) aQE? that immediately surrounds that struc-
ture 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
03reby certify the above statements are true, correct and
complete.
Signature
Address (Street, number, city, state and ZIP code)
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUEiON- RESIDENTIAL
VALUE
Land not exceeding i (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 -
LLesser of 112 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 Auditor n _ Date Signed
(5)
(6)
(7)
(8) .
I hereby certify the above is true,
correct, and complete
Signature of Assesor
Dale Signed
Verifying Action - Signature of Auditor
Date Signed
STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990
1990 Pay 1991
1991 Pay 1992
19 — Pay 19 -
LLesser of 112 Homestead
Lesser of 112 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 Auditor n _ Date Signed