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Homestead_Sills
a p ' CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT /STANDARD DEDUCTION County FORM HC10 FEAR Signature fAddress (Street, number, city, state and ZIP code) Lesser of 112 Homestead Valuation or $2,500 (3) R Valuation or $1,500 State Form 5473 (R2/1 -90) - -' (4) Signature of Auditor (5) INSTRUCTIONS: See reverse side for filing instructions. ✓ (6) CERTIFICATION STATEMENT (We) _" certify that on the 1 st day of March , 19 .We) occupied as our principal place of ressiiddeenc�4tle fol wing described real property for which a Homestead roperty Tax Credit is hereby claimed:( \�j �' 1 (We) owned ❑ Are buying under contract E3 property a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying it under a contract. - CONTRACT RECORDED If buying o nd le ©wner's Name Recorder's offjce.where cOrtilract is recorded Record Number ; Page V PROPERTY, DESCRIPTION County muUjiuliq Township,. Tax strict (City, town, township) , Parcel Number Legal Description If any portion of the residential structure or the land not exceeding V1(1) acre that immediat6ly 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 COUNTIES County Township County 19 —Pay 19— tiereby certify the above statements are true. correct and '' mplete. Signature fAddress (Street, number, city, state and 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 Otherland 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 —Pay 19— 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) Signature of Auditor (5) (6) (7) (8) I 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 —Pay 19— 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 Auditor Date Si ued y� .. D_ ;-