HomeMy WebLinkAboutHomestead_Hutchinson (3)CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
} CREDIT /STANDARD DEDUCTIONIC10
State Form 5473 (R61403) G 1
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
CE TIFICA_T_IO__N'S_TATEM_
I (We) certi w}lh,�at on the_ t day of Mar L20
I (We) occupied as r rincipal place of residence the following described real property for which a Homeslea9`Pr�p' A ar�Cieditts hereby-claimed:
❑ I (We) owned ❑ Are buying under contract GI bjN
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.
NTRACTTRECORDED'�`; ��•`3yrju:, ''m 'y:p'�^r. rs'P t:
If buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
r
' E•c_ORTY.:_DESCR T N, iw
County
Township
I hereby certify the above statements are true, correct and complete.
Testing " "riot (dry, town, town hip)
(number land st /ree�t,,(y�rt�_state, ZIP code)
2 O� Je- r-S.1 5 0 n i Y/
" —f—
7 3
'
?.aer�- irS:�VAI.0 kiif.
Land not exceeding 1 (one) acre immediately
P cel umber
al descripti
Is he property question:
��
Real property ❑ Mobile Homo (LC. G/.1 -7) .
If my portion of the residential structure or the land note eeding one (1) acre a immEtly s,mourds that oboe is used to produce income, describe the use and portion
eproperty utilized to produce in,.
DOt O' DZ)1 D %—O
( 2 )
�::�" '�-"�� '��•' -'`. PROPERTY.OWNEDBY:CLAIMANTIN:
OTHER "COUNTIES,`c�':`�'��???'�:j,�, fiw " +��?f�'Sta °'+?`
County
Township
County Township
I hereby certify the above statements are true, correct and complete.
Stinalure of claimant
(number land st /ree�t,,(y�rt�_state, ZIP code)
2 O� Je- r-S.1 5 0 n i Y/
" —f—
7 3
k US ON
- xASSESSOE LY`
20_Pay 20_
ASSESSEDVALUE
.HOMESTEAD
is jNON RESIDENTIA:r%
�. o- .>E_' ?? ir "'°'.2`d�.rr, e"c -._tip' sy% 3a�.
>` VALUES'
C3?f. _ _3....` —
ATz100 % 'OFTTV
.� �.,as ..iS
'OVA_ LUEr� -'"'r
c J•. .� -wN.v `
'
?.aer�- irS:�VAI.0 kiif.
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
( 2 )
Total land (line 1 plus line 2)
(3)
Dwelling
Residential Improvements or Annually
Assessed Mobile I Mamdactured Home
Garage
(5)
E, er� `:;-- °y�•.. `x'ir
w
Other improvements
(6)
fi
.;^ r 4
Trial improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(6) '
hereby certify the above is We, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
s'f`' ''ffSTANDARD DEDUCTION ALLOWANCE
20_Pay 20_
Lesser of 112 Homestead
TS
valuuroon or 535.000
Signature of Auditor
Date signed