HomeMy WebLinkAboutHomestead_Byrns�• _� CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT
FORM YE�AR
C1
/n� IVlri r I u lyyl
I (We) � cL Ur!4 t certify that on the 1st day of March , 19
I (We) occupied as our principal place f reside ce the follov�ing described real proAw v &hm4eAvead
Property Tax Credit is hereby claimed: l,L —J�t (/We) owned, ❑ Are b PPRIeOr contract
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the
El, 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
Township
Parcel Number gl Legal Description r �
I .
If any portion of the residential structure or the land not bAceeding one (1) acre that immediately surrdbnds 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
ounty Township County Township_----.
iereby certify the above statements are true, correct and Si na u
>mplete.
ddres tre t, nu ber, c . slat an 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
Lesser of 112 Homestead
Valuation or $1,500
19 — Pay 19 -
Lesser of 112 Homestead
Valuation or $1,500
(2)
Signature of Audito
p.
(3)
(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
P Lesser of 112 Homestead
Valuation or $2,500
1990 Pay 1991
Lesser of 112 Homestead
Valuation or $2,000
1991 Pay 1992
Lesser of 112 Homestead
Valuation or $1,500
19 — Pay 19 -
Lesser of 112 Homestead
Valuation or $1,500
Signature of Audito
p.
Date Signed
�d: q