HomeMy WebLinkAboutHomestead_Creek (3)aka 4 CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for filing instructions.
I (We)
CERTIFICATION STATEMENT
FORM YEAR
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certify that on the 1 st day of March , 19 76
I (We) occupied as our principal place of residence the following described real property for which a Homestead
kroperty Tax Credit is hereby claimed: 4 1 (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 it under a contract. IMTT IMT\
CONTRACT RECORDED
If buying on contract. Fee Simple Owner's Name APR
Recorder's office where contract is recorded Re rcg d Numb P, - aq�1
•�urr �F
AI ID �0
PROPERTY DESCRIPTION
County ship Taxing District (City, town, township)
Parcel Number Legal cri on
-oo E a9- -1 a r r,55
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 describ the use and portion of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements
Otherland
Total land - line (1) plus line (2)
Residential improvements Dwelling
Garage
Other improvements
Total improvements - line (4) through line (6)
Total value - fine (3) plus line (7)
(1)
1991 Pay 1992
Lesser of 112 Homestead
Valuation or $1,500
19 —Pay 19
Lesser of 112 Homestead
Valuation or $1,500
(2)
Signature of Auditor
(3)
(4)
(5)
(6)
(7)
(8)
I 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
®Lesser of 112 Homestead
" Valuation or $2,500
1990 Pay 1991
Lesser of 1/2 Homestead
Valuation or $2,000
1991 Pay 1992
Lesser of 112 Homestead
Valuation or $1,500
19 —Pay 19
Lesser of 112 Homestead
Valuation or $1,500
Signature of Auditor
Da e Signe
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