HomeMy WebLinkAboutHomestead_Richardson (2)Y CLAIM FOR HOMESTEAD PROPERTY TAX
i CREDIT /STANDARD DEDUCTION
State Farm 5473 (R215 -92)
i
INSTRUCTIONS: See reverse side for filing instructions.
. = -^' CERTIFICATI
FORM YEAR
HC10
i STATEMENT'.. 1W, - ." •.
I (We) _ - _ _ certify that on the 1st day of March, 19
IWWe) occupied as our principal place of residen a the followi escribed al property for which a Homestead Property Tax Credit is hereby claimed:
I (We) owned [D 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 DESCRIPTION - ` . - " " " _ . •.
County Township
Taxing district ( ,town, township)
Parcel number Legal description
NC� q•� 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.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES -
County Township
County Township
hereby certify the above statements are true, correct and complete.
Signatur o aimant '
Address number and street, ary state ZIP code)
#tI] y� tD�lo
ASSESSOR USE ONLY
._
TRUETAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON-RESIDENT1ALti
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
5
Valuation or $2,000
-
Other land
(2)
'
Total land (line 1 plus line 2)
(3)
Residential improvements
Dwelling
(4)
1�
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
complete.
Signature of Assessor
Date signed
tying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19_Payl9_
Lesser of 1/2 Homestead
5
Valuation or $2,000
Signature of Auditor 1 /
Date signed '