HomeMy WebLinkAboutHomestead_Deputy��^��. CLAIM FOR HOMESTEAD PROPERTY TAX
�� y ° CREDIT/STANDARD DEDUCTION
!'��' State Form 5473 (R2/1-90)
'•�• INSTRUCTIONS: See reverse side �or �iling instructions.
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(We) occupied as our
CERTIFICATION STATEMENT
FORM _ 1'EAR
HC70 �i
FII�ED
• MAY 2 � 1991
certify that on the 1 st day of March , 19 �
of residence the following described real p�jeg�}Ip'r,Q+Thi�6jC5nestead
Property Tax Credit is hereby claimed: �—t-jWe) owned ❑ Ar�tl���l�u�nder 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.
County
CONTRACT RECORDED
on coniract. Fee Simple Owner's Name
's office where contract is recorded
Legal
PROPERTY DESCRIPTION
Record Nu
, town,
Page
— J /'�7— . v �"'
If any portion of the residential structure or ihe land not exceed g 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.
�y i�- i3. i �
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township - County Township
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�� hereby certify the above statements are true, correci and , Signy� ture ^ (�
----�_._ � . �G yi d1 .n . "n / \ 1 1., /�. -d�
and ZIP code)
ASSESSOR USE ONLY� � � TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
� � VAll1E
Land not exceeding �(one) acre immediately
surrounding resideMial improvemenis (�)
Oiherland (2)
Total land - line (7) plus line (2) (3)
Residential improvements - Dwelling (a) - - - - -- - •
Garage (5)
Other improvemenis (6)
Total improvemenis - line (4) through line (6) (7)
Total value - line (3) plus line (7) (8) -
I hereby certify the above is true, Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Date Signed
1989 Pay 1990
Lesser of 1/2 Homestead
Valuation or $2,500
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991
Lesser of 1/2 Homestead
Valuation or �2.000
7 991 Pay 1992 19 — Pay 19 —
Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or 57,500 Valuation or $1,500
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Signature of Audito Date Signed
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