HomeMy WebLinkAboutHomestead_Williams (13)CLAIM FOR HOMESTEAD PROPERTY TAX .
2 CREDIT /STANDARD DEDUCTION
State Form 5473 (R2 / 5.92)
raA .
INSTRUCTIONS: See reverse side for filing instructions.
��R YEAR
JAN 2 7 1999
CERTIFICATION STATE _ENT
I (We) artily that on the 1 st day of March, 19
�)occupied as our principal place of residence the following 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 -
Count
-
Township
&-by certify the above statements are true, correct and complete.
Taxing ct (a o n, town i '
Par I number
-005 �o-Ex7
Legal des d ion
.3 -fd l9
It any portion of the residential structure or the land not exceeding one (7 I 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
&-by certify the above statements are true, correct and complete.
ignature of claimant
dress (number and sf ee4 city. state. ZIP code)
6 6
f 1 n
ASSESSOR USE ONLY -
TFI E TAX
.VALUE
ASSESSED
VALUE.
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Si
ur f Auditor
Otherland
(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 pUs line 7)
(g)
I hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19_Pay 19_
Lesser of 1/2 Homestead
Valuation or $2,000
5
Si
ur f Auditor
Date signed ��