Homestead_Scott (3)�° • CLAIM FOR HOMESTEAD PROPERTY TAX'
FORM
ifs
CREDIT /STANDARD DEDUCTION Hc10
State Form 5473 (R2/1 -90)
`-
property and that owns the
property or is buying it 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
Co t Tow shiy� p t= Taxi n District ( ity, town, township)
Parcel Number Legal es ption
D �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 OWNED.BY CLAIMANT IN OTHER COUNTIES
County I Township County I Township
hereby cenify the above statements are true. correct and
Address (Street, number, city. state and ZIP code)
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 PaYIN
19 — Pay 19 —
Lesser of 112 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)
(6)
(7)
(8)
I hereby certify the above is true,
correct, and complete
Signature of Assesor
Date Signed
Verifying Action - Signature of Auditor AUG 0 9 1990
Date Signed
STANDARD DEDUCTION ALARXWK& - 7f"e's
1989 Pay 1990
1990 Pay 1991
1991 PaYIN
19 — Pay 19 —
Lesser of 112 Homestead
Lesser of 112 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
n lure of Auditor
Date Sighed
10