HomeMy WebLinkAboutHomestead_Stewart�i
s..'F CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
i' State Form 5473 (R2 /5-92)
INSTRUCTIONS: See reverse side for filing instructions.
FORM YEAR
HC10
CERTIFIC ON STAT MENT
-
T -, 11
TT-1
�Wa) certify that on the 1st day of March, 19_
I (We) occupied as our principal place of residence the following described rearprope�r "y M Which a Homestead Prop x 6 r It by claimed:
❑ I (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 perty or is btryi der a contract.
CONTAACT RECORDED
It buying on contract, Fee Simple owners narn
G4f 1_1X 112)'Z S is eo
Recorders office where contract is recorded
Record number
Page
PROPERTY DESCRIPTION
County
Township
Taxinn district , tor ,
township)
Parcelnum _ � ^
Legal descriptl
If any portion of the residential structure or the land not exceeding one (1) acre that imme t y sunTlUnds 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
Wereby certify the above statements are true, correct and complete.
Signature of daimant
Address (number and street, city, state. ZIP code)
.S
ASS E; )
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 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)
(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 52,000
Signature of Auditor
Date signed