Homestead_Hale (6)d.�;; •�•, CLAIM FOR HOMESTEAD PROPERTY YAX .
�x� �' CREDIT/STANDARD DEDUCTION ���
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:� State Form 5473 (R2/1-90) - ' `(�
,' '°,• �,. INSTRUCTIONS: See reverse side (or �iling instructions.
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STATEMENT
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certify that on the �1 st day of March , 19
I(We) occupi d1z�s our principal place of residence the follo�riag�d�scribed real property for which a Homestead
Property Tax Credit is hereby claimed: �(J� e) owned ❑ Are buying under contract
� Have a beneficial interest in tlie entity that is liable for the property taxes on th�o�e�jy a thgt c�ns the
property or is buying it under a contract.. � �� �'
If buying on coniract.
contract is recorded
11
CONTRACT RECORDED
PROPERTY DESCRI
pE�; 1 1990
Page
P r' u e _Q � Legal Descript n � _ _
If any porti n of the residential structure or the land not exceeding on (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.
�/ - /7 �/- � - UD/. �� 7e� �� .
. � PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
iounty Townshi ToH
I hereby certify the above siatements are true, correci and. � Signature'
camplete. � ' "
�Addr s�S^1tree�t, nu�,mber, city, state and ZIP code)
�LL�,X. S- 3 �.Z �'w-P�r Su ; ���e -�y/. !�`���C�
ASSESSOR USE ONLY, TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE
NON-RESIDENTIAL
VALUE
Landnotexceeding 1 (one)acreimmediately � ' �
surrounding resideniial improvemenis (�)
Other land , (2) ' .
Total land - line (7) plus line (2) (3) -�
Residential improvements Dwelling (4) -
+ Garage (5)
Other improvemenis (6)
Total improvements - line (a) through line (6) (7)
To�al value - line (3) plus line (7) (8)
I hereby certify the above is true. Signature of Assesor Date Signed
correct, and complete
Verifying Aciion - Signature of Auditor Date Signed
7989 Pay 7990
Lesser of 1/2 Homestead
Valuation or $2,500
Signatur�of
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991 1991 Pay 1992 19 — Pay 7 9—
Lesser of 1/2 Homestead Lesser of 1/2 Homesiead Lesser of 1/2 Homestead
Valuation or �2,000 Valuation or 51.500 Valuation or $1,500