Homestead_CrabtreeMon *E9 CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT
FORM YEAR
HC10
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I ! (We) QKK-fo7lil-lf, I r I `' - cer111Y that on the 1 st day of March , 19 9
�We) ocYupW as A principal pLAce of residence theeff owing described real property for which a Homestead
ropeity t e claimed: L� I (We) owned ❑ Are buying under contract
❑ Hav b ftj in the entity that is liable for the property taxes on the property and that owns the
property or is buying it under a contract.
CONTRACT RECORDED
If buying t oFe - owner's Name
_ Al iDITO,R- 0
Recorder's office where contract is recorded Record Number Page
PROPERTY DESCRIPTION
County Township Taxing District (City, town, township)
P rcel Number - Legal Description n / _ ^ O
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 portion of the property utilized to produce income.
PROPERTY
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 -
-esser of 1/2 Homestead
(2)
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
Valuation or $2,500 i
(3)
Valuation or $1,500
Valuation or $1,500
(4)
Signature of Audit
(5)
e
(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 -
-esser of 1/2 Homestead
Lesser of 112 Homestead
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
Valuation or $2,500 i
Valuation or $2,000
Valuation or $1,500
Valuation or $1,500
Signature of Audit
Date S' ned��
e
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