HomeMy WebLinkAboutHomestead_Emerson Farms Inc.�•°•� CLAIM FOR HOMESTEAD PROPERTY TAX
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3: - _ � : CREDIT/STANDARD DEDUCTION
, � State Form 5473 (R2/1-90) +�
�' '°" �� INSTRUCTIONS: See reverse side (or liling instructions.
CERTIFICATION STATEMENT •
FORM YEAR
HC10
- p0�-6o53'{
I(We) _�,�1�%11Yr�.� o�'l1C_ . certify that on the 1 st day of March°, 19 �
�We) occupied as our principal place of residence the f owing described real property for which a Homestead
roperty Tax Credit is hereby claimed: I(We) owned -� ❑ Are buying under contract
�° Have a beneficiaF interest in the entity thaYis liable for the property taxes on the property and that owns the
..property or is buying iYunder a�contract. r ,
If buying on
RECORDED
recorded
{R � y PROPERTY DESCRIPTION
TownshiRM � _ �. . Taxing District
I Record Number I Page
town, township)
Parcel Number Legal Description
��-�53y-� �t N c� 1a-3-i a ag.�� ��
If any portion of the resideniial siructure or the land no exceeding one (7 ) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income. .
- i � ii= �o - �od. sa f�=
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township , - County Township
�iereby certify ihe above statemems are true. correct and - Si natu ' �
complete. ' � - -� ' '
Address (Sireet. number. city, state and ZIP code) -
ASSESSOR USE ONLY ' � TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-HESIDENTIAL
VALUE
Land noi exceeding t(one) acre immediately . _ �
surrounding residential improvemenis (�)
Oiherland (2)
Total land - line (1) plus line (2) (3)
Resideniial.improvemenis Dwelling (4)
Garage (5)
Oiher improvemenis (6)
Total improvements - 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 7/2 Homestead
Valuation or $2,500
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991 1991 Pay 1992 19—Pay 19—
Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or �2.000 Valuation or �1,500 Valuation or $1,500
Signature of Auditor � n I� /� //, ^ I Date S�'gn�ed
n � ,. , r � � `l-!rl ^.