HomeMy WebLinkAboutHomestead_SmithCLAIM FOR HOMESTEAD PROPERTY TAX
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CREDIT/STANDARD DEDUCTION
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State Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT
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I (We) °certify that on the 1staycAf�e1MAh�j
1(we) occupied as our principal place of residence the following described real property for v�iTcft Nomestead
Property Tax Credit is hereby claimed: h'" (We) owned ❑ Are buying under contract
❑ Have a beneficiahnterest in the entity that is liable for the property taxes on the property and that owns the
property or is buying it U er a contract.
CONTRACT RECORDED
If buying on contract. Fee Si le Owner's Name
Recorder's office where contract is recorded
Record Number
Page
PROPERTY DESCRIPTION
town, township)
Pa el Num . OO Legal Description ) D L f Q I 3 10
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.
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PROPERTY OWNED BY'CLAIMANT IN OTHER COUNTIES
County
Township
County
To
INhereby certify the above statements are true. correct and
Signatu _
complete.
(7)
Addres t t. number ity, state and ZIP code)
1 hereby certify the above is true,
correct, and complete
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)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
1 hereby certify the above is true,
correct, and complete
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STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990
0
1990 Pay 1991
1991 Pay 1992
19 Pay 19
Lesser of 112 Homestead
Lesser of 1/2 Homestead
Lesser of 112 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 Signed
A