HomeMy WebLinkAboutHomestead_Alan Sensmeier Farm IncCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R2 / 5-92)
s INSTRUCTIONS: See reverse side for filing instructions.
FORM YEAR
F1 Hr,
4 20D1
CERTIFICATION ATEMENT /-
I (We) rtity tha g� h 19_
I (We) occupied as our principal place of residence the following described real property for which a Homes (�pn{ty(T'aic)t;r�ditAs hereby claimed:
❑ 1 (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.
CONTRACT RECORDED
It buying on contract, Fee Simple owners name
Recorders office where contract is recorded -
Record number
Page
PROPERTY DESCRIPTION
County
Township
Taxing district (city, town, township)
Parcel number
ME-W030-a) -a)
Legal description
10-3- �6aD
If any portion of the residential structure or the WrW of exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe me use and portion of
the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County
Township
County
Township
�ieby
Si nature of cl ' a
certify the above statements are true, correct and complete.
Addres (number street, city, tale, ZIP code)
3 X'? GA G
ASSESSOR USE ONLY
TRUE TAX
ASSESSED
HOMESTEAD
NON - RESIDENTIAL
VALUE
VALUE
VALUE
VALUE
Land not exceeding 1 (one) acre immediately
(1)
surrounding residential improvements.
Other land
(2)
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
Residential improvements
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is true, correct, and
Signature of Assesor
Date signed
complete.
Vedtying action - Signature of Auditor tatesigned
0—, STANDARD DEDUCTION ALLOWANCE
19_ Pay 19
Lesser of 1/2 Homestead $
Valuation or $2,000
Signature of Auditor
Date signed
u—('''
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