No preview available
Homestead_Campbell (2)CLAIM FOR HOMESTEAD.PROPERTY TAX. CREDIT /STANDARD DEDUCTION State Form 5473 (R2 / 5.92) Abu INSTRUCTIONS: See reverse side for tiling instructions. 1 �• s r 'e) T l 1`l Q\ V lxl certify that on the 1 st day of March, 19 occupied as our principal place of residence the following described real property for hich a Home ead Properly Tax Credit is hereby claimed: I (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 - - If buying on contract, Fee Simple owners name Recorder's office where contract is recorded Record number Page PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES PROPERTY DESCRIPTION Co y Township Township Taxing tlietriCt try town, to Ship)• _ << A ess( number and sweet, city, state. 2lPcode) Parcel number. Leg de Jon Total land (line t plus line 2) (3) It any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion of the property utilized to produce income. r PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES County Township County Township ®eby certify the above statements are true, correct and complete. S' n , of claimant A ess( number and sweet, city, state. 2lPcode) ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL. VALUE - Land not exceeding 1 (one) acre immediately surrounding residential improvements. (1) Otherland (2) Total land (line t plus line 2) (3) Residential improvements Dwelling (4) Garage (5) Other improvements (6) Total improvements (line 4 through line 6) (7) Total value (line 3 pLs line 7) (6) 1 hereby certify the above is true, Correct, and complete. Signature of Assessor Date signed %, - ng action - Signature of Auditor Date signed 19 —Pay 19_ Lesser of 1/2 Homestead Valuation or $2,000 STANDARD DEDUCTION S Signature of Auditor I Cate signed