HomeMy WebLinkAboutHomestead_Wallace (2)CLAIM FOR HOMESTEAD PROPERTY TAX
s CREDIT /STANDARD DEDUCTION
State Form 5473 (11215 -92)
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INSTRUCTIONS: See reverse side for filing instructions.
Tr♦ t i i �
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P "1` •�,
'e) � hk,, V-�.- &�aj certify that on the 1 st day of March, 191
4) occupied as our p U cipal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
l(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 OWNED BY CLAIMANT IN OTHER COUNTIES
PROPERTY DESCRIPTION
County
Township
Township
Taxing distric ity, town. township)
Parcel number
b- 0 14.3 -00
Legal description
j,
Q I
It 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 COUNTIES
County
Township
County
Township
'reby certify the above statements are true, correct and complete.
ture of claimant
Ad ss (number and street, city, state, ZIP code)
30
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
-
-
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 jobs line 7)
(g)
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
�fying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19 _Pay 19_
Lesser of 1/2 Homestead
_
S
Valuation or $2,000
Signature of Auditor
Date sign
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