Homestead_Morris (2)CLAIM FOR HOMESTEAD PROPERTY TAX
3E'= CREDITISTANDARD DEDUCTION
,...;: State Form 5473 (11215-92)
INSTRUCTIONS: See reverse side for filing instructions.
FORM YEAR
CERTIFICATION STATEMENT - •= ee i 'v u
�Ve) certify tl Ut'&y, o�y1%�. 1^9
) occupied as our principal place of residence the following described feat property for which a Homestead Property TAOr�TO y Gaimed:
I (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 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
County
Townshi
County
Taxi�gistricl (C y, town, township)
.eby certify the above statements are true, correct and complete.
I
Address (number and street. City State. ZIP code)
// W. rof ST
Parcel number
Legal descri tion
OIL 9W9
-
It any portion of the residential structure or the land not exceeding one (1) a r that unm late 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.
Signature of claimant
�d
Address (number and street. City State. ZIP code)
// W. rof ST
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
_
Other land
(2)
Total land (line 1 plus line Z)
(3)
Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 ptis line 7)
(g)
I hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
11'�fying action - Signature of Auditor -
t
Date signed
STANDARD DEDUCTION ALLOWANCE
19_Pay 19_
Lesser of 1/2 Homestead
3
Valuation or $2,000
Signature of Auditor I,
1• \J\
Date ned
�
11