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HomeMy WebLinkAboutHomestead_Williams (10)CLAIM FOR HOMESTEAD PROPERTY TAX e 4 CREDIT /STANDARD DEDUCTION • I State Form 5473 (R2 / 5.92) d' INSTRUCTIONS: See reverse side for filing instructions. E t MAR 21 2001 CERTIFICATION STATEMENT I (we) ce �j r� I (We) occupied as our principal place of residence the following described real property for which a Homestead Property Tax CrerTt is he 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 under a contract. CONTRACT RECORDED If buying on contract, Fee Simple owners name Recorders office where contract is recorded Record number Page PROPERTY DESCRIPTION County Township Taxing distract icily, town, township) ' Pamel bnumber © -© (30 -CU Legal description If any portion of the residential structure or the WrW not exceeding one (1) adr1hat immediately s units 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 COUNTRIES Couni Township County Township ereby certify the above statements are true, correct and complete. Sign to Gaim nt Address (number et. ci ,state, ZIP code) f t O tL� /1 ASSESSOR USE ONLY TRUE TAX VALUE ASSES VAL E OMESTEAD VALUE NON - RESIDENTIAL VALUE Land not exceeding 1 (one) acre immediately surrounding residential improvements. (1) Otherland (2) Total land (line 1 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) (8) I hereby certify the above is true, correct, and complete. Signature of Assesor Date signed vedtying action - Signature of Auditor Date signed STANDARD DEDUCTION ALLOWANCE 19_ Pay 19 Lesser of 1/2 Homestead Valuation or $2,000 $ Signature of Auditor Dale sign