HomeMy WebLinkAboutHomestead_McNeeleya/ CLAIM FOR HOMESTEAD PROPERTY TAX
%aE CREDIT /STANDARD DEDUCTION
State Form 5473 (R2 15-92)
INSTRUCTIONS: See reverse side for filing instructions.
-Mc c 1_ l o e L `i--
FORM
HC10
MAT 1'li Iyyb
certify that on the 1st day of March, 19—b
_p occupied as ou a . bdence the , aowiU describedVal property for which a Home ad Propertt Tax rredit is hereby claimed:
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( ) ❑ Are buying under contract AUDITOR
❑ 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 OWNED BY CLAIMANT IN OTHER COUNTIES
PROPERTY DESCRIPTION
County
Township
eeby certify the above statements are true, correct and complete.
Taxing disci
ct (
ty. tow
, township)
Parcel number
CO-�
Legal cl � lion -
- a
If 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.
Signature of Auditor
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I
Total land (line I plus line 2)
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
eeby certify the above statements are true, correct and complete.
Sign of claimant
S
Address (number and street, city. state. ZIP code)
X (,Pfi (_ _9lo F1`_Qrr�tn.JA) Q-76
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
$
Otherland
(2)
Signature of Auditor
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I
Total land (line I plus line 2)
(3)
Da; signed
5 -7 n
Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 pUs line 7)
(6)
1 hereby certify the above is true, correct. and
complete.
Signature of Assessor
Date signed
'tying action - Signature of Auditor
0 --
Date signed
STANDARD DEDUCTION ALLOWANCE
19_Pay 19_
Lesser of 1/2 Homestead
$
Valuation or $2,000
Signature of Auditor
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I'nVI
,
Da; signed
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