HomeMy WebLinkAboutHomestead_Hille� �� CLAIM FOR HOMESTEAD PROPERTY TAX
aa�9 �/1CREDIT /STANDARD DEDUCTION
/ State Form 5473 (R2 / 5 -92)
INSTRUCTIONS: See reverse side for filing instructions.
FORMIrj riJ ?Y�E�AR
UOL 19 1995
-. r t V r( v
certify 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:
PI 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
It buying on contract. Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
I PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES I
County
certify the above statements are true. correct and complete.
Address (number and street. city. stale. ZIP coce)
Township
ASSESSOR USE ONLY
PROPERTY DESCRIPTION
County
Township
NON - RESIDENTIAL
VALUE
Taxing district (dty. town. township)
Parcel number
bagfi
Legal �cription
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7 •a a - ���
If any portion of the residential structure or the land not exceeding one (D acre that immediately surrounds that structure is used to produce income. describe the use and portion
of the property utilized to produce income.
I PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES I
County
certify the above statements are true. correct and complete.
Address (number and street. city. stale. ZIP coce)
Township
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately I
surrounding residential improvements.
(1)
Valuation or 52.000
S n ure of Autlitor
Other land
(2)
Total land (line I plus line Z)
I (3)
Residential improvements
lling
Dwelling
(4)
I
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 pbs line/)
(6)
I hereby certify the above is true. correct. and
complete,
Signature of Assessor
I Date signed
wing action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19_Pay 19_
Lesser of 112 Homestead
S
Valuation or 52.000
S n ure of Autlitor
Dare signed
—`q_
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