HomeMy WebLinkAboutHomestead_Jaquess;� � CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAH
i� . CREDIT/STANDARD DEDUCTION HCio
�,�/� Siate Fortn 5473 (R2 / 5-92)
•^• � ';'�ll"TI:Y l'a'� � �.
7oi /iling instructions.
. , . ��. : • . -_� CERTIFlCATION STA7EMENT': - _ � - . .. . - ' _
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❑ Are buying under contract �%�!�'�X '�'�
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❑ Have a beneficial inierest in the entiry ihat is liable for the pmperty taxes on the property and that owns ihe properfy`or�is ��buying under a contraa.
- . . . .... -. -. : -. CONTRACT RECORDED t. �. , .... ...:.. . . ,.. -. . ,-s...r �. --
, . . . � .- ��'. :::
If buying on contrad, Fee Simple owner's name
fiecorder's office where contraa is recortled Recortl number Pa9e
Counry
DESCRIP710N� - - �
Texing disirict (ciry, town, mwnship)
Parcel number Legal descnption
?�o �-�.5s-e� . � .3� -a � a , q 4 �1 L
If any ponion of the residen[ial struaure or the land not exceeding one (1) acre ihat immediatety surrountls that structure is used ro produce income, tlescrihe Ihe use and
ol ihe properry utilizeE to protluce income.
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�� -- PROPERTV OWNED BY CLAIMANT IN OTHER COUNTIES . �
Counry Township Counry Township
/
���ereby certity ihe above statements are true. correct and complete. Sign ot ciaimam
O-C
ss umber streeG ary, state ZIP code)
�jX ° �i¢� D �X �.� uJUI S U/ �/F n� �
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- ASSESSOR USE ONLY ' � TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL.
� ., . VAWE VALUE VALUE . . VALUE
Land not exceeding 7(one) acre immediatety � .�
surrounding residential improvements. (� � - � �
Otherland (p) . �
Total land (line 7 plus line 2� (3)
Dwelling (4) . - �
Residential improvements .
Garage (5) �
Other improvements (6) �
Total improvements (line 4 through line � (7)
Total value (line 3 p�s line 7� (g)
I hereby cenify Ihe above is true, correct, and Sgnamre ot Assessor Date signed
complete.
nty"ug action - Sgnamre of Auditor - Date sgned
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79_Pay79_
Lesser of 7/2 Homestead
Valuation or $2,000
DEDUCTION
$
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Sgnamre of Auditor - --- I Dare sgnetl
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