HomeMy WebLinkAboutHomestead_Parkea CLAIM FOR HOMESTEAD PROPERTY-TAX
CREDIT /STANDARD - DEDUCTION
v State Form 5473 (R2/1 -90)-
INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT
FORM
HC10
YEAR
I yo
I (We) ®l1Aarn }� certify that on the 1st day of March , 19 �d
' rWe) occupied as our principal pl a of residence the fo ing described real property for which a Homestead
'roperty Tax Credit is hereby claimed: 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 it under a contract.
CONTRACT RECORDED
If buying on contract. Fee Simple Owner's Name
Recorder's office where contract is recorded R Cd o I urn
Page
S
PROPERTY DESCRIPTION_ AUDITOR
FA
MVNumbber O _,, I Legal Description
If any portion of the residential structure or the land not exceeding one.(1) acre 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 _ n I Township. _ --- County Towns
0iereby certify the above statements are true. correct and Signature
omplete: - - -
Ac1dre s,(Str.p4b. n ber, Late a I c e) 1
ASSESSOR USE ONLY TRUE TAX VALUE". . ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL
VALUE
Land not exceeding 1.(one) acre immediately
surrounding residential improvements
Otherland
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
Lesser of 1/2 Homestead
Valuation or $1,500
19— Pay 19 -
Lesser of 1/2 Homestead
Valuation or $1,500
(2)
Signature of Audit
(3)
Dgte�Si reed
(4)
-
-
(5)
(6)
(7)
(8)
1 hereby certify the above is true,
correct, and complete
Signature of Assesor
Date Signed
Verifying Action - Signature of Auditor
Date Signed
STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990
IlLesser of 1/2 Homestead
Valuation or $2,500
1990 Pay 1991
Lesser of 1/2 Homestead
Valuation or $2,000
1991 Pay 1992
Lesser of 1/2 Homestead
Valuation or $1,500
19— Pay 19 -
Lesser of 1/2 Homestead
Valuation or $1,500
Signature of Audit
Dgte�Si reed
RI