Homestead_Todd• CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
- FORM (/
w CREDIT /STANDARD DEDUCTION HC10
State Form 5473 (132/1 -90)
INSTRUCTIONS: See reverse side for filing instructions.
V
CERTIFICATION STATEMENT
I (We) `S�kc = /(��U certify that on the 1st day of March , 19
I' (We) occupied akbur principal pla /�I of residence the fallowing described real property for which a Homestead
Property Tax Credit is hereby 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
orooertNmv ir*:it,ki;Rikr a contract.
CONTRACT RECORDED
If buying on contrAo"SiMe Owner's Name
Recorder's of 'ce ih Hiroo is recorded
S
Record Number
Page '
AUU11Vn -
ownship
PROPERTY DESCRIPTION
Legal Description
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If any portion of the residential structure or the land r
ture is used to produce income describe the use and
County
Faxing Distuct (pity,, town, township)
=ding one (1) acre that immediately surrounds that struc-
of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
hereby certify the above statements are true, correct and
/FL
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
Lesser of 112 Homestead
Valuation or $1,500
19 — Pay 19—
Lesser of 1/2 Homestead
Valuation or $1,500
(2)
Signature of Auditor
(3)
(4) -
- -
-
(5)
(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 1 990
Lesser of 1/2 Homestead
Valuation or $2,500
1990 Pay 1991
Lesser of 112 Homestead
Valuation or $2,000
1991 Pay 1992
Lesser of 112 Homestead
Valuation or $1,500
19 — Pay 19—
Lesser of 1/2 Homestead
Valuation or $1,500
Signature of Auditor
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