HomeMy WebLinkAboutHomestead_Georges (2)ti CLAIM FOR HOMESTEAD PROPERTY TAX
d' CREDIT /STANDARD DEDUCTION
State Form 5473 (R21 5 -92)
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INSTRUCTIONS: See reverse side for filing instructions.
FORM
HCIL1A ��71 Ln
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111.4 1-1 n n
U CERTIFICATIONSTATEMENTt" --�-` - `..,�.' ..
(
Me)4 as our ncipal place e following described real property for whichstead'Property, I It —!ed she by
I We 6'A 490 Y n 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'.:... _
It buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
- - - _ - -
- .PROPERTY DESCRIPTION .. k•.. . - a' '- .. _ .
County
Township
Township
ing district (city, town, township),
Parcel number �
7 C�- C� a
Legal description
-
Date signed
—R
If any portion of the residential structure or the land not exceeding
of the property utilized to produce income.
one (1) acre that immediately surrounds that structure is used to produce income. descnbe the use and portion
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Township
reby certify the above statements are true, correct and complete.
Signatur c ai
Address (number and street city, state, ZIP code)
- ''.ASSESSOR USE ONLY -
TRUE T AX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON-RESIDENT.'
IAL`
VALUE >`•
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Signature of Auditor r /
r L -D
Date signed
—R
Otherland
(2)4�,
Total land (line I plus line 2)
(3)
Residential improvements
Dwelling
(4)
-
Garage
(8)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 pbs line 7)
(8)
I hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
verifying action - Signature of Auditor
®'
Date signed
_ - STANDARD DEDUCTION ALLOWANCE—S - -
19_Pay 19_
Lesser of 1/2 Homestead
$
Valuation or $2,000
Signature of Auditor r /
r L -D
Date signed
—R