Homestead_Byrns (3)CLAIM FOR I IOMESTEAD PROPERTY TAX
Vol CREDIT /STANDARD DEDUCTION
Slate Form 5473 (112/1 -90)
INSNIUCTIONS: See reverse side for filing inshuclions.
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I (We) t certify Thal on the 1 s1 day of �77March , 19 %lJ
I (We) occupied as our principa dace of residence the, following described real proj)Nl for vvlit a l lomeslead
Properly Tax Credit is hereby claimed: I� 1 (We) owned ❑, Are buyingy�lI?.Scontracl
I lave a beneficial interest in tire erdily Ilial is liable lot [lie property taxes on the properly a c�Ihal owns the
El property or is buying it under a contracl.
CONTRACT RECORDED
If buying on contract, Fee Simple Owner's Name
Recorder's office where contract is recorded Record Number Page
PROPERTY DESCRIPTION
County l ownshir Taxing District (City, lown, lownship)
,
r Vylll a ^� Legal Des riplion _ —) :P, Oo nL
1,
II any portion of the residential structure or the land riot exceeding one (1) acre Thal immediately surrounds trial slruc-
lure is used to produce income describe (lie use and portion or the properly utilized to produce income.
w -Gb . /
PROPERTY OWNED BY CLAIMA14T IN OTHER COUNTIES
Courdy
Township
County
Township
CI hereby certily lire above statements are true, correct and
omplete.
Sign re
Address (Street, number, city, stale and ZIP code)
ASSESSOR USE DULY TnUE TAX VALUE ASSESSED VALUE 110MES]EAD VALUE 11011- RESIDE1111AL
VALUE
Land not exceeding 1 (one) acre Immediately
surrounding residenlial improvements
Other land
Total land - line (1) plus tine (2)
(residential improvements Dwelling
Garage
Other improvements
Total improvements - line (4) Iluough line (6)
Total value - line (3) plus line (7)
(1)
1991 Pay 1992
19 — Pay 19
Lesser of 112 homestead
(2)
Lesser or 112 Homestead
Lesser of 112 Homestead
Valuation or $2,500
(3)
Valuation or $1,500
Valuation or $1,500
(4)
Signature of Auditor
(5)
(6)
(7)
(8)
I hereby certify the above is true,
correct, and complete
Signature of Assesor
Date Signed
_
enlytng Action - Signature of Auditor
Date Signed
STANDARD DEDUCTION ALLOWANCE
989 Pay 1990
1990 Pay 1991
1991 Pay 1992
19 — Pay 19
Lesser of 112 homestead
Lesser of 112 1lomesiead
Lesser or 112 Homestead
Lesser of 112 Homestead
Valuation or $2,500
Valuation or $2,000
Valuation or $1,500
Valuation or $1,500
Signature of Auditor
Dale Si ne
FII