HomeMy WebLinkAboutHomestead_Vinnedge0 { RI }p
a %'^ ; CLAIM FOR HOMESTEAD PROPERTY TAX p YEAR
zas CREDIT /STANDARD DEDUCTION I
r State Form 5473 (R2 15-92)
ANSTRUCTIONS: See reverseside for filing instructions. j C - 1995
I "Ne)� _ - certify�llMt f ih�ist day of March. 19
® occupied as our prmipai prate of residence the foiloV; g described real property for which a Homestead Property Tax Credit is hereby claimed: -
((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 buying under a contract.
CONTRACT RECORDED- _
It buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded Record number Page.
PROPERTY DESCRIPTION
County
Township
Taxing district (city, town, township) -
Parcel number
S • Cpp����� J
Legal description
If any portion of the residential structure or the land not exceeding one (1) acre that i diately 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 COUNTIES
County
Township
County
Township
eby certify the above statements are true, correct and complete.
Signature of claimant _
ress (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)
Valuation or $2,000
Signature of Audit
Other land
(2)
Date = ned
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)
(6)
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
M
STANDARD DEDUCTION ALLOWANCE
19_Pay 19_
Lesser of 1/2 Homestead
S
Valuation or $2,000
Signature of Audit
Date = ned