Homestead_MorrisCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
, State Form 5473 (11215 -92)
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INSTRUCTIONS: See reverse side for filing instructions.
STATEMENT
FORM
HC10
�r
YEAR
e) _
of residence the following described real property for which a Homestead Property Taxjftit 8*ejgg6med:
l(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 pl&vw (yin ?er a contra
ennIT�
CONTRACT RECORDED
If buying on contract, Fee Simple owner's name _
Recorder's office where contract is recorded Record number Page
' PROPERTY DESCRIPTION
County
Townshp -
Taxing district (city, fawn, township)
Parcel number
0�
Legal description
If any portion of the residential structure or the land not exceeding one (1) 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
10�by certify the above statements are true, correct and complete.
Signature C mast
Address (number and street city, state, 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.
(1)
Signature of Auditor
Date signed
Other land
(2)
Total land (line I 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 pfls line 7)
(g)
I hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
Verifying action --Signature of Auditor
0
Date signed
STANDARD DEDUCTION ALLOWANCE
19_Pay 19_
Lesser of 1l2 Homestead
�.
S •o.
Valuation or $2,000
Signature of Auditor
Date signed
'/