HomeMy WebLinkAboutHomestead_Wilzbacher (2)MEN "a
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
sy ` State Form 5473 (R2! 5-92)
reo
INSTRUCTIONS: See reverse side for filing instructions.
APR 3 0 1993
certify that on the lot WbT(R14: 19�
as our prin al place of residence the following described real pro y for which a Homestead Property Tax Credit is hereby 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 owner's name
Recorder's office where contract is recorded Record number Page
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
PROPERTY DESCRIPTION
County Township -
-
Taxing district (city, town, township)
el j, ber Legal description
Oa is -�
�- - � a�a.►��
It any portion of the residential structure or the land not exceeding one 1) 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
reby certify the above statements are true, correct and complete.
Signature of claimant
Address (number and street clty, state. ZIP code) P-0- 130/- cj S
ASSESSOR USE ONLY
TRUETAX
ASSESSED
HOMESTEAD
NON - RESIDENTIAL
- .VALUE
VALUE
VALUE
- VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Other land
(2)
Total land (line I plus line 2)
(3)
Dwelling
(4)
-
Residential improvements
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(6)
1 hereby certify the above is true. correct. and
Signature of Assessor
Date signed
r-gmplete.
vZaction - Signature of Auditor
Date signed
19_Pay 19_
Lesser of 112 Homestead
Valuation or $2,000
Signature
STANDARD DEDUCTION
$