Homestead_Dike�,�;y^p.4, CLAIM FOR HOMESTEAD PROPERTY TAX �
s�`` , ° CREDIT%STANDARD DEDUCTION
� State Form 5473 (R2/1-90) �' � '� '�'
,' '°�° ` WSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT
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SEP 1 1992
�(We) _�� �.`%' �� ��{ � certify that on the ] st day of MarcA�1�T��-
1'(We) occupied as our principal place of residence th following described real property for which a Homestead
Property Tax Credit is hereby claimed: � I(We) owned, ❑ Are buying under contract
I
� 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
fRACT RECORDED
on contract, Fee Simple Owner's Name
Recorder's office where contract is recorded
Record Number
town,
�
,���,_.��3��g- oo I��y�,..p����J u� "N c � t-3 -�a �. s�Q...e�
If any portion of the residentiai struciure or the land not exceeding one (t ) 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 i
nty Townshio
hereby certify the above sia[emenis are lrue. correct and
and ZIP code)
County
COUNTIES
`f� ! �p �P •�
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Landnot exceeding 7(one) acre immediately -
surrounding residential improvements (�)
Otherland (2)
To�al land - line (1) plus line (2) (3) �
Residen[ial improvements- - Dwelling (4) - - - - - - - � - - -� - - - -
Garage (5)
Other improvements (6)
Total improvemeMS - line (4) [hrough line (6) (7)
Total value - line (3) plus line (.7) (8)
I hereby certify the above is true, Signature of Assesor Date Signed
wrrect, and complete
Verifying Action - Signature of Auditor Date Signed
1989 Pay 7990
Lesser of t/2 Homestead
Valuation or $2,500
STANDARD DEDUCTION ALLOWANCE
1990 Pay 7991 1991 Pay 7992 19—Pay 79—
Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or $2,000 Valuation or 51,500 Valuation or $1,500
Signature of Auditor /�n^ ^M / I\ � A�� I�t pi��
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