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Homestead_Whitmani n., CLAIM FOR HOMESTEAD PROPERTY TAX =r` CREDIT /STANDARD DEDUCTION State Form 5473 (R211 -90) INSTRUCTIONS: See reverse side for filing instructions. CERTIFICATION STATEMENT . 9� -W FORM YEAR HC 7 0 I__� I (We) , J _ _ ertify that on the 1st day of March , 19 1 (We) occupied as our prin at place of residence the folio cribed real property for which a Homestead roperty 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 property or is buying it under a contract. /Ie /mil . ac I If buying on contract Township 1'tILWrti I.T U Taxing D �irCel NQu ©erLegal Description n M rl _ rt A If any portion of the residential structure or the land not exceeding one. (1) acre that imfnediatery surtounds that struc ture is used to produce income describe the use and portion of the property utilized to produce income. PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES 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 19 —Pay 19 — Lesser of 112 Homestead (2) Lesser of 1/2 Homestead Lesser of 112 Homestead Valuation or $2,500 (3) Valuation or S1,500 Valuation or $1,500 (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 1990 1990 Pay 1991 1991 Pay 1992 19 —Pay 19 — Lesser of 112 Homestead Lesser of 112 Homestead Lesser of 1/2 Homestead Lesser of 112 Homestead Valuation or $2,500 Valuation or $2.000 Valuation or S1,500 Valuation or $1,500 Signature f uditor D to Sig d A