HomeMy WebLinkAboutHomestead_Poe-Christie (2)CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
t CREDIT /STANDARD DEDUCTION HCTo
,, • State Form 5473 (112/5 -92)
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INSTRUCTIONS: See reverse side for /fling instructions. L ^ ^^
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rCERTIFICATHHI STATEMENT;_4-
I (We) \ � following described real property for ich a Homestead Pr`pep T Credit' h claimed:
I (We) owned ❑ Are buying under contract N [-.;;;ttiTY AUDITOR
Have a beneficial interest in the entity hat is liable for the property taxes on the property and that ownown W of I or Is buying under a contract.
tY P PeftY P P Y � PertY Y 9
CONTRACT RECORDED
It buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
- PROPERTY DESCRIPTION
County
Township
Taxing d ct (dry to township)
arc�jl number
Legal descri lion
If any portion of the residential structure or the land not exceeding one (1) acre that i ediatety surrodnds 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
I hereby certify the above statements are true, correct and complete. Signature of claimant
dress (number and street, dry, stale, ZIP code)
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE - -
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
-
Other land
(2)
Total land (line I plus line 2))
(3)
Residential improvements
Garage
(5)
_
Other improvements
(6)
-
Total improvements (line 4 through line 6)
(7)
Total value (line 3 pbs 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
19 _Pay 19_
Lesser of 1/2 Homestead
Valuation or $2,000
S
signed