HomeMy WebLinkAboutHomestead_Higginbotham (5)��'`?, CLAIM FOR HOMESTEAD PROPERTY TAX
j ° CREDIT/STANDARD DEDUCTION
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r�� State Form 5473 (R2 / S92)
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INSTRUCTIONS: See reverse side (or (ling instructions.
FORM
HC10
YEAR
❑ Have a beneficiai interest in the entiry that is liable for Ihe property tazes on Ihe property and that owns Ihe property or is buying under a contract.
CONTRACTRECORDED
It buying on conVact, Fee Simple ownefs name
Recortlefs office where contraci is recorded Record number Page
PROPERTV DESCRIPTION
Coun � Township � Tacing district (city, fown, fownship)
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Parcelnumber L Idescnpdon �
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If any po on o the resitlential structure or ihe lar�d t exceeding one (1) acre ihat immediatety sunounds Ihat 5W re is used to produce income. tlescribe the use and poNOn of
the properry utilizetl ro produce income.
� - /7-OSC� -�/ 7SL9- 4�2./
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
Counry Township Counry Tovmship
Signature of daimant
�reby certify the above statements are true, correct and complete. '
Atldress (number and streef, ciry, state, ZIP code)
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
- VALUE VALUE VALUE VALUE
Land not ezceeding 7(one) acre immediately (�� �
surrounding residential improvements.
Olherland (2)
Totaf land (line 1 plus line 2) (3) �
Dwellin9 (4)
Residential improvements
Garage (5)
Other impmvements (6)
Total improvements (line 4 through line 6) (7) .
Tota1 value Qine 3 plus line 7) (8)
1 hereby certify the above is true, covect, and Signamre of Assesor Dace si9ned
complete.
Veritying actlon - Signature of Autlitor Date signed
' STANDARD DEDUCTION ALLOWANCE
19_ Pay 79 _ .
Lesser of 1/2 Homestead 5
. Valuation or 52,000 �
iqn ,ure of Au '!or Date signetl