HomeMy WebLinkAboutHomestead_Toth (2)_-� _ •
..En•� CLAIM FOR HOMESTEAD PROPERTY TAX
_`� ,4' CREDIT/STANDARD DEDUCTION .
�;� State Form 5473 (R2/t-90) �
. INSTRUCTIDNS: See reverse side lor filing.instructions.
CERTIFICATION STATEMENT
� M R YEAR
.� � �
Mr?" ao i::g1
I(We) �l.l'�m.(l..� °�- ��11.�.D�l� `m -��'-`� certify that on the-1 st�ay�of.Mla�t�`' h%%£8��
- P�UD�TO�
M(We) occupied as our principal place of residence the following described real property for w ich a omestead
Property Tax Credit is hereby daimed: �e) 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 o� is buying it under a contract.
CONTRACT.RECORDED �
If buying on contracL Fee Simple Owner's Name .
Recorder's office where contract is �ecorded � Record Number Page
- PROPERTY DESCRIPTION -
County Townshi . - Taxing Di r t(City, town, township) - � .
Parcel Number Legal Descripiio j I '
0o s-o �/s-oo �-.S� y N� 4-(-3-II �.00 �L
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that struo-
ture is used to produce income describe the use and portion of the property utilized to produce income.
� �?/ -/d'-%7-/00 -OQ.�. �id�- �ot/
,- PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township County . -
�
�i he�eby certify the above statements are irue. correct and ' nSipnatule ", �^� �� �
C � tiL... . ��
reet, number, city, state
i� �, 9�G}r �?,
� .
ASSESSOR USE ONLY � .,TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE
Land �not exceeding 1'(one) acre immediately
surrounding resideniial improvements
Otherland
Total land - line (1) plus line (2)
Residential�improvements' Dwelling
Garage
Other improvements
Total improvemenis - line (4) through line (6)
Total value - line (3) plus line (7)
I hereby certify the above is true,
correct, and complete
Verifvina Action - Siqnature of Auditor
1989 Pay 1990
Lesser of 1/2 Homestead
Valuation or $2,500
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(z)
(3)
(4)- -
(5)
(6)
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4
NON•RESIDENTIAL
VALUE
I ' � .
/ /�-. %2 93
STANDARD DEDUCTION AI
7990 Pay 1997 1'
Lesserofl/2Homestead Lessei __ — __-_____
Valuation or $2,000 Valuation or $7,500
.,.,.,. .,. .,_ ................�
Valuation or S1,500
Signature of Auditor /� � � I Date Signed
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