HomeMy WebLinkAboutHomestead_King (3)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STA
FORM
HC10
I
1 . I (We) At w�rL l certifykhat on the 11 sdy of March , 19
(We) occupied as our principal place of residence the {{{followi g described rea 9=96 r�mestead
Property Tax Credit is hereby claimed: I (We) owned r �ontract
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 it under a contract. AUG 0 6 1990 !�
CONTRACT RECORDED
If buying on contract. Fee Simple Owner's Name ^""rrwR
Recorder's office where contract is recorded Record Number Page
PRAPFRTY DFSCRIPTInN
Township
Parcel Numb e Legal Descriptio
01--00 . N t� a S -- I I I. l Q-e'J
If any portion of the residential. structure or the land not exceeding one (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
Township County Township
hereby certify the above statements are true, correct and
(Street, number, city. state and�ZIP code)
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL
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 112 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) -
- -
- - - -
- -
(5)
(6)
(7)
(8)
1 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 112 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 igne
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