HomeMy WebLinkAboutHomestead_Richeson (4)ems%, CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEA
y ' CREDIT /STANDARD DEDUCTION
State Form 5473 (R2/1 -90) ly
INSTRUCTIONS: See reverse side for tiling instructions. /
1l�iA/1N /_ CERTIFICATION STATEMENT�'�
I (We) Ze� certify that on the 1st day of March , 19
(We) occupied as our principal place of residence the folding described real property )or�Lhich a Homestead
11 Property Tax Credit is hereby claimed: }gym /I (We) owned /� , ❑ Are buying under contract
❑ Have a beneficial interest in the entity that is liable for the property Ihs ® gert 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 Record Number Page .
PROPERTY DESGRIPTION
County To Taxing tric 'ty, town, towrghip -
Parc Number Legal Des ption
If any portion of the residential structure or the land not exceeding one (1) acrd 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.000NTIES
ASSESSOR USE ONLY
TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements
Other land
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
19;V-- Pay 19 Y�?_
Lesser of 112 Homestead
(2)
Lesser of 112 Homestead
Lesser of 112 Homestead
Valuation or $2,500
(3)
Valuation or $1,500
Valuation or $1,500
(4) -
- -
-
(5)
i
(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
1990 Pay 1991
1991 Pay 1992
19;V-- Pay 19 Y�?_
Lesser of 112 Homestead
Lesser of 112 Homestead
Lesser of 112 Homestead
Lesser of 112 Homestead
Valuation or $2,500
Valuation or $2.000
Valuation or $1,500
Valuation or $1,500
Signature of/Auclitor
Date Signed
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