HomeMy WebLinkAboutHomestead_Bullock (3)d� •o CLAIM FOR HOMESTEAD PROPERTY TAX
y CREDIT /STANDARD DEDUCTION
State Form 5473 (R2/1 -90)
INSTRUCTIONY:ee reverse side for filing instru s.
O X/r IIJEA-JI;�MTION STATEMENT
I (We)
FORM
HC10
5 -6.3
certify that on the 1 st day of March , 19 9-0
occupied aWbur principal pla&b of residence the following described real property for which a Homestead
-ty Tax Credit is hereby claimed: (We) owned ❑ Are buying under contract
IHave 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.
CONTRACT RECORDED
If buying on contract. Fee Simple Owner's Name
Recorder's office where contract is recorded Record Number Page
PROPERTY DESCRIPTION
County (� y _ Township Taxing Distri t town, township)
Parcel Number Legal Description
Ims -ono b • E Sq- I - II ls-K,
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.
i7- - aa3.o /G -4-a /
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES17TT 17TN
Count
Township p
Co
19— Pay 19—
hereby certify the above statements are true. correct and
®)mplete.
Signature APR 2 6 1990
Address (Street. number, city, state and ZIP code)
S
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—
of 1/2 Homestead
(2)
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
®Lesser
Valuation or $2,500
(3)
Valuation or $1,500
Valuation or $1,500
(4)
Signal of Audito
(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—
of 1/2 Homestead
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
®Lesser
Valuation or $2,500
Valuation or $2.000
Valuation or $1,500
Valuation or $1,500
Signal of Audito
Date Signed
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