HomeMy WebLinkAboutHomestead_Chambon`��'�°3°, CLAIM FOR HOMESTEAD PROPERTY TAX
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s ! CREDIT/STANDARD DEDUCTION
Slate Form 5473 (R2 / 5 -92)
INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION � /SST1•A�TE��d MENT�
I (We) _ _ _ u-il -ld
I (We) occupied as our p n ipal plac residence the following described real property for wh
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MAY 10 1996
(hat on the T 6 day of March, 19
Property 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 owner's name ,
Recorder's office where contract is recorded Record number Page
PROPERTY DESCRIPTION
County
Township
HOMESTEAD
VALUE
Taxing district (city, town, township)
Parcel number
Legal description
If any portion of the residential structure or the land not exceeding one (1) acre ih t immedialety surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
Other land
f
oa 3.
2 "A- "J-v
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding t (one) acre immediately
surrounding residential improvements.
(t)
Other land
(2) -
Total land (line I plus line 2)
(3)
I
Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 pbs line 7)
(6)
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed