Homestead_Richardson (2)CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
i, CREDIT /STANDARD DEDUCTION HC10
State Form 5473 (R2 / 5 -92) 1
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INSTRUCTIONS: See reverse side for tiling instructions.
• (fib e L J IJJJ
,re) �F- _ certify that on the 1st day of March, 19
1) oc fed as our principal place of residence the following described real property for whicha Homes d Property,jax Cx�dit is-h5ereby claimed:
I (We) owned ❑ Are. buying under contract AUDITOR
❑ 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 OWNED BY CLAIMANT IN OTHER COUNTIES
PROPERTY DESCRIPTION -
County
Township
Township
Taxing district (city, town, township)
Signature of claimant
1 -
t
Parcel number
009,31
Legal descrip
on
3 — pl N 19 g oco A-(—
If any portion of the residential structure or the land not exceedin
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
eby certify the above statements are true, correct and complete.
Signature of claimant
Valuation or $2.000
Address (number and street. city. state. ZIP code)
3/9 5
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
Signature of Auditor
Otherland
(2)
Date signetl
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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 plis line 7)
(6)
I hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
I ing action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19_Pay 19_
Lesser of 112 Homestead
S
Valuation or $2.000
Signature of Auditor
Date signetl
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