HomeMy WebLinkAboutHomestead_AllenCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R215 -92)
INSTRUCTIONS: See reverse side for filing instructions.
- 1 1996
�e) _,_�_�yq�ll� \K4J.l -K y� } � S[ -OVIr certify that^&K,p� �IdFlcf -19-
e) occupied as our principal place of residence the follo g described real property for which a Homestead Property Ta I ere y 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 DESCRIPTION
County
Towns p
County
Taxing district city. town, township)
. Parcel number
ep 13 - o33O
Legal de
95
���Ihat
If any portion of the residential structure or the land no immed ,ely sumo nds that structure is used to produce income, describe the use and portion
of the properly utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Township
Veby certify the above statements are true, correct and complete.
` ^azure of a' ant
Address (number and street, city, state. ZIP code)
/SNP o. Vox az
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Other land
(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 plis line 7)
(5)
1 hereby certify the above is true, Correct, and
complete.
Signature of Assessor
Date signed
�-rying action - Signature of Auditor
Date signed
I STANDARD DEDUCTION ALLOWANCE I
19_Pay 19_
Lesser of 1/2 Homestead
Valuation or $2,000
S
Date