HomeMy WebLinkAboutHomestead_NewmanCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (RB 14-03)
Prescribed by the Department of Local Govertunmd Finance
INSTRUCTIONS: See rewae adds Aorf'r96rvucdm
' LIFORM--:b YEAR
(��• p�G If v YEAR
� �J�1 11iL
OCT 1 2 Zoos
I (We) / Iu nJ�)N (t Oo11NTYs Qdaly off Mgarch, 20
I (We) occupied as our It cipal pla f residence the following described real mestead Property Tax Credit Is hereby claimed:
❑ I (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 property or is buying under a contract.
'. y.` t�, a���..,. a���` u�'? �', ��" a. �',{- s��s' �^ i�' �iCONTRACT :RECORDED'•+�',ss:�";.�, {`�,c' --- "��-���' ?�,�„3;�..�'-�rt
If buying on contact. Fee Simple owners name
Recorder's office where contract is recorded Record number Page
5AW '' PROP,ERTY;OWNED':BY CLAIMANT,IIJ_OTFIER'000IJTIES, ';. x.'} -3? ' "yj ,.r, 4 `r�4'ftl;y
County
County
/3 S
Toxnship
lacing isbict (city con, to shi
Parcel number '�71
o —VV
des p'
o/Q ���
Is the pro in uAlon:
Real property ❑Mobile Homo (AC. 6f.1 -7)
H any portion of the residential structure or the land not exceeding one (1) acre N�mmedid immediately syrtounds that s cture Is used to produce income, describe the use and portion
of the�rop to produce income. 3J9i/
/ Ac
YYY ✓f q�
5AW '' PROP,ERTY;OWNED':BY CLAIMANT,IIJ_OTFIER'000IJTIES, ';. x.'} -3? ' "yj ,.r, 4 `r�4'ftl;y
County
Tavnship
County Township
hereby certify the above statements are We, correct and complete.
Signature f c _
Address (number and street, city, state, ZIP code)
9533 N. Access 94 65DN, Na�tet�m, =N 47L 40
z gA� � "
h s ASSESSDR�USE ONLY?
e sTRUE TAX S9�
ALUy
ASSESSEDVALUE
AT 100 °hOFTTV
HOMESTEAD,,
VALUEf"'
NON= RESIDENTIAL
`'ESkVALUEr 4
Land not exceeding 1 (one) acre immediately
(1);b;,,�
}� w
surrounding residential improvements.
ff
Other land
(2 )
Total land (line 1 plus line 2)
(3)
Dwelling
(4)'b,rJ
° "' 1'
'Residential Improvements or Annually
-'�``" � '5 5
Assessed Moblie I Manufac4ued Hans
Gars a
9
6
O
.* _
: � -�
.' 'I
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
TUal value (line 3 plus line 7)
(6)
1 hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
'tjv' ;# ,STANDARD DEDUCTION AL'LOWANCE?';
2.0 Pay 20_
Lesser of 1t2 Homestead
Vatuaaon or 535.000
$
Signature of Auditor Date signed