HomeMy WebLinkAboutHomestead_SatterfieldCLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION HC10
. ` State Form 5473 (13215 -92) [W]
sie
INSTRUCTIONS: See reverse side for filing instructions.
i' e) _� hJ certify that on the 1 st day of March, 19
occupied as our principal place of residence the to wing escribed real prop rt for which a Homestead Property Tax Credit is hereby claimed:
j2-T—(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 bu r�J i-fgdege coWaCl,
CONTRACT RECORDED
If buying on contract, Fee Simple owner's name APR 13 11994 -
Recorder's office where contract is
Record
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES '
PROPERTY DESCRIPTION
County
Township
Sign re claimant
Taxing district , t n, to n ip1
I
(1)
Valuation or $2,000
Signature of Auditor
P�cet number
Legal de
-
It any portion of the residential structureol"the land not exceeding 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.
Total land (line 1 plus line 2)
(3)
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES '
County Townshi
County Township
reby certify the above statements are true, correct and complete.
Sign re claimant
Address (number and street, city slate, Z o e)
��
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding I (one) acre immediately
surrounding residential improvements.
(1)
Valuation or $2,000
Signature of Auditor
Other land
(2)
Total land (line 1 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 plus line 7)
(6)
I hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
'lying 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 signellf
lf
3-