HomeMy WebLinkAboutHomestead_McGowanCLAIM FOR HOMESTEAD PROPERTY TAX- '- . FOR YEAR
3. CREDIT /STANDARD DEDUCTION H
State Form 5473 (R2/5-92) - -
INSTRUCTIONS: See reverse side for filing instructions- � 1996
CERTIFICATION STATEMENT
c
I (We) - certify that on the 1st dapp 'Q
) occupied as our principal place of residence the following described real property for which a Homestead Property Tax Credit iisss ere .med
:
0I (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 DESCRIP14914
County
County
Tow sh
Taxing tlis
(ciry,.rown, to{yn p)
Parcel number
Legal de [i n
or
Otherland
(2)
It any portion of the residential structure or the land not exceeding one (1) acre that imm'diately surr&jnds
that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
-
(3) -
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Township
eby certify the above statements are true, correct and complete.
Signature of claimant -
Addre (number and street city, state, ZIP rode)
J3 V 7 �3 76 J3
ASSESSOR USE ONLY -
"
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON-RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Valuation or 52,000
Signature of Auditor
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 pl/s line 7)
(6)
1 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 l9_
Lesser of 1/2 Homestead
S
Valuation or 52,000
Signature of Auditor
Date signed