Homestead_Cardwell• CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
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` CREDIT /STANDARD DEDUCTION Hc10
State Form 5473 (R2/1 -90),
INSTRUCTIONS: See reverse side for filing instructions. S d"
CERTIFICATION STATEMENT
` (We)���� _certify that on the 1st day of March , 19 �-
1(W — rincipal place of residence th following described real propert r which a Homestead
Property Tax Credit is hereby claimed: ❑ I (We) owned. Are buying under contract
El property a beneficial interest in the entity that is liable for the property taxes on the pro nd that w e
property or is buying it under a contract. -
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PROPFRTY DFSCRIPTION
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County Township Taxing Dist i y, n, wnshi
Parcel Number Legal Des i ti n v 1/
005-0009, - pi
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 po 'on of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
my
I hereby certify the above statements are true, correct and.-
city, state and ZI
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON- RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements
Other land
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—
Lesser of 1/2 Homestead
(2)
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
Valuation or $2,500
(3)
Valuation or $1,500
Valuation or $1,500
(4) -
•- -
- - -
_ -
(5)
Date Signed
(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—
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
Valuation or $2,500
Valuation or $2,000
Valuation or $1,500
Valuation or $1,500
Signat a Auditor
Date Signed