Homestead_Penner (3)r
�-�� CLAIM FOR HOMESTEAD PROPERTY TAX
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�d �.F °y
;� � CREDIT/STANDARD DEDUCTION
Stale Form 5473 (R2/1-90)
°�• INSTRUCTIONS: See reverse side lor liling instruclions.
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CERTIFICATION ST TEMENT
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�(yye) .� cerl�on lh st day �M�rch ,<9 �
I(We) occupied as ou rincipal place of residence Ihe Ilowing described real propert�(� p{,+ r��mestead
Property Tax Credit is hereby claimed: � I(We) owned ❑ Are buying under contract
Have a beneficial interest in Ihe entity lhal is lia�le lor lhe properly taxes on the property and Ihal owns ihe
property or is buying it under a contract.
on conlract, Fee Simple
oflice where contract
County
CONTRACT RECORDED
PROPERTY DESCRIPTION
� � Taxing Dislricl (C
Number
lown, lownship)
Page
Parcel Numbe Legal Descriptid`nJ
�oS-d���2-ao P-�S 3� -a -/ 2 S � .
II any portion of the residential siructure or the land nol exceeding one (1) acre Ihal immedialely surrounds that struc-
lure is used to produce income describe �he use and porlion ol lhe properiy utilized to produce income.
-/�-03� - �o-ao% 9��-
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township Counly _
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I hereby cerlily Ihe above statemenls are true, correct and �f ��������n � e.. !// %
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ASSESSOR USE ONLY TRUE TA% VALUE ASSESSED VALUE f10MESTEAD VALUE NON-RESIDENTIAL
VALUE
Land nol ezceeding 1(one) acre immedialely
surroundingresidentialimprovements (�)
011ier land (2)
Totai land - line (1) pius line (2) (3)
Residenlial improvemenls Dwelling (4)
Garage (5)
Olher improvemenis (6)
Totai improvemenls - line (A) through line (6) (7)
Totat value - tine (3) plus line (7) (8)
1 hereby cerli(y ihe above is true, SignaWre ol Assesor Date Signed
correct, and complele
Verilying Action - Signature ot Auditor Dale Signed
1989 Pay 1990
Lesseroi 1/2 Homestead
� Valuation or $2,500
Signature of Audilor
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991 I 1991 Pay 1992 I 19—Pay 19—
Lesser ol 1/2 Homeslead Lesser ol 1/2 Homestead lesser ot 1/2 Homeslead
Valualion or $2,000 Valuation or $1,500 Valuation or $1,500