HomeMy WebLinkAboutHomestead_Welch (2)°\ CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
C? CREDIT /STANDARD DEDUCTION Hclo
Slate Form 5473 (R215 -92)
g FIL J
INSTRUCTIONS: See reverse side for Jilin instructions. �—. � �l D[
CFQTIFICATVIN QTATPMFNT' .eea�n 5
le) tit c.�� certify thaLon the 1st day of arch, 19
�) occupied as our principal place of residence the following described real property (or nhich a Homestead Pr / r tre�ay�� aimed:
( a?�rt4 ALIM R
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 property or is buying under a contract
I' . h L .
It buying on
Record number Page
` PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
PROPERTY DESCRIPTION
County
Township
Township
Taxing district (city. town, town hip)
Parcel number
Legal d
Lion
i((Signature of Audifor
O CP - t ��
(2).
a'
It any portion of the residential structure or the land not exceeding one (1
)cre that imniedlately surrounds that strut ure is used to produce income, describe the use and portion
of the property utilized to Produce income. '
95G �a9LA-
` PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Township
®•eby certify the above statements are true, correct and complete.
Signal of t
Address (number and street, city. slate, 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
i((Signature of Audifor
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 plrs line 7)
(g)
I hereby Certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
Wing action - Signature of Auditor
Date sgned
' - STANDARD DEDUCTION ALLOWANCE
19_Pay 19_
Lesser of 1/2 Homestead
$
Valuation or $2,000
i((Signature of Audifor
Date signed
r