HomeMy WebLinkAboutHomestead_Poston•n14 CLAIM FOR HOMESTEAD PROPERTY TAX_ FORM YEAR
CREDIT /STANDARD DEDUCTION HC16
State Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for filing instructions. /
CERTIFICATION STATEMENT \/
I '(We) x;16 4 certify that on the 1st day of March , 19 I0
' We) occupied as our principal place of residence the following described real property for which a Homestead
Property Tax Credit is hereby claimed: 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
El property or is buying it under a contract.
CONTRACT RECORDED '
If buying on contract. Fee Simple Owner's Name
Recorder's office where contract is recorded Record Number Page .
PRnPFRTY nFRCRIPTION
County Towns ' TaxiqA District (Qty, town, township)
Parcel Number Le al D s ription <a n n 5
l Cd(cl/
If any portion of the residential structure or the land not exceeding ne (1) acre that immediately surrounds that struc-
ture 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
Wereby certify the above statements are true. correct and •Signal - re
complete. - - -� 4a ' t
Address (Street, number, city, state and ZIP code)
ASSESSOR USE ONLY - TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON- I R'11AL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements
Otherland
Total land - line (1) plus line (2)
Residential improvements - . Dwelling
Garage
Other improvements
Total improvements - line (4) through line (6)
Total value - line (3) plus line (7)
`
(1)
1991 Pay 1992
19— Pay 19 -
LeSSer of 1/2 Homestead
(2)
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
Valuation or $2,500
(3)
Valuation or $1,500
Valuation or $1,500
(4).
Signature of Auditor
�.
(5)
(6)
(7)
(8)
I hereby certify the above is true,
correct, and complete
Signature of Assesor
Date Signed
Verifying Action - Signature of Auditor
Date Signed
STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990
1990 Pay 1991
1991 Pay 1992
19— Pay 19 -
LeSSer of 1/2 Homestead
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
Valuation or $2,500
Valuation or $2,000
Valuation or $1,500
Valuation or $1,500
Signature of Auditor
�.
Date Si ned
.54 -90
0