HomeMy WebLinkAboutHomestead_SokelandCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD Dr, CTION (��)
I. State Form 5473 (R2 / 5-92) [�/1 ["
,s INSTRUCTIONS: See reverse side for filing instructio
' CER�TIFICATION TEMENT �� -` _ •; t "it i,�r-- ��::;.vr�.� -,
I (We) certify that on the 1 at day of March, 19_
I (We) occupied as our principal place of resident ollowing described real/pro for which a Homestead Property Tax Credit is hereby claimed:
❑ I (We) owned ❑ Are buying under contr _
❑ Have a beneficial interest in the entity that is liable for ro axes on the property and that owns the property or is buying under a contract.
CONTRACT RECORDED
It buying on contract, Fee Simple owners name
Recorders office where contract is recorded
YEAR
Page
;,FORS
PROPERTY DESCRIPTION
,APR
2HCio
Taring district (aty, to , township)
Parcel number
' CER�TIFICATION TEMENT �� -` _ •; t "it i,�r-- ��::;.vr�.� -,
I (We) certify that on the 1 at day of March, 19_
I (We) occupied as our principal place of resident ollowing described real/pro for which a Homestead Property Tax Credit is hereby claimed:
❑ I (We) owned ❑ Are buying under contr _
❑ Have a beneficial interest in the entity that is liable for ro axes on the property and that owns the property or is buying under a contract.
CONTRACT RECORDED
It buying on contract, Fee Simple owners name
Recorders office where contract is recorded
Record number
Page
PROPERTY DESCRIPTION
County
Township
Taring district (aty, to , township)
Parcel number
Legal description
If any portion of the residential structure or 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.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County
Township
County
Township
,ereby certify the above statements are true, correct and complete.
Sign a of cl imam
Address (number and street, city, state, 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
Dwelling
(4)
Garage
(5)
-
Other improvements
(6) ,
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 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
19_ Pay 19
Lesser of 1/2 Homestead
Valuation or S2,000
$
lure of Auditor -
��
Date signed