HomeMy WebLinkAboutHomestead_Phillips (6)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R4 /6-00)
INSTRUCTIONS: See reverse side for filing instructions.
CI R&M YEAR
M
Ca W:1
NOV OS 2001
CffnFICAT1ON:ST
V
I (We) A I ce 419-'� -(Mnv o'd
le 0
*R4'1
1 (We) occup-tdas'cour prin p I place of residence the following�lescribed real property for which a Homestead Property'Va( Credtrs hereby Vdawned:
F-1 I (We) owned ❑ e 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.
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded - Record number Page.
E9TY1.0WNEP E 'CLAIMANT
P-kPPER Mj�DESCRIPJfO
County Township
County
Twmship
Taxing district (city, tom, township)
rum
I rtuber
Legal descripbon-1
Ll
Other land
If any portion of the residential structure or the land not ex d
of the property utilized to produce income.
we (1) am thal immediat4 surrounds that structure if usecf
to produce in me, des6ribe the use and
E9TY1.0WNEP E 'CLAIMANT
IN O H#FC -OWTIES--• -r„ M��Ofqa--,4T- 0
County Township
County .Township
I hereby oerW the above statements are true, correct and complete.
natu claimant N I
rum
not street. city. state IPCOde)
Ll
ESS 0
Riiu -T
t�SrSd —D'-A7T. —..-
SEDIVAULIE
IV
Z
OF� �,V
�j 00 /!�
5�MMESTEZD
I *�P
V�t
Land not exceeding I (onb) acre immediately
surrounding residential improvements.
IRS-,
Other land
(2)
Total land (fine I plus line 2)
(3)
Residential improvements
Dwelling
(4)
OEM, 101
Garage
(5)
Other improvements
(6)
am Aq
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
P
�-.s_T6NDARD�L)EbLiciI011!ALICCLWA
20 Pay 20
Lesser of 12 Homestead $
Valuation or $6,000
Signature of Auditor Date signed