Homestead_Peach (2)e%-''R g CLAIM FOR HOMESTEAD PROPERTY TAX
;E�� CREDIT/STANDARD DEDUCTION
�;�;�� State Form 5473 (R2 / 5,92)
yu ,
INSTRUCTIONS: See reverse side tor7iling instructions.
RM YEAR
��� A 10 =
�,� � '�998
i(We) �¢�iGf�.�Bt�arttF�9�st 8ay of March. 19
�) g descr ed eal properly for J`a.HO�teatl Property Tax Credii is hereby claimed:
,J I (We) owned ❑ Are buying under contract � • � _ _ ,
❑ Have a beneficial interesi in the eniiry that is liable for the pmperty taxes on the property and that owns the property or is buying under a contraci.
- � • - � " CONTRACT RECORDED - � - � �
It buying on contract, Fee Simple owner's name . � � � • �- � �
Recortler's oNice where contract is recorded Record number Page
Gounry
' � PROPEFTY
Tawnship' � �
- _ ^
/ \
Legal description J
It any portion ot the residential stmcmre or the lantl not exceeding
of ihe property utilizetl to produce income. .
= -�do =m/. � 3�/
Taxing dis[rici (dty, (own, town5hip)
swcWre is usetl to produce income, describe ihe use a�M portion
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES � -
County Township County Township
�eby certify the above siatements are true, correct and complete. � Sgn re t raai n� /
..N
Address (number and streef. ary. State. Z1PCnde) �
� �
ASSESSOR USE ONLY TRUE TAX � ASSESSED . HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
land not exceeding 7(one) acre immediately . .
surrounding resideniial improvements. (�) '"
Otherland (p) �
Tolal land (line 7 plus line � 3 '
()
Dwelling (4) - �
Residential improvemenis - .
Garage (g)
Oiher improvements (6)
Total improvements (line 4 through line � (7)
Total value (line 3 p�s line 7� (g)
I hereby certify the above is true, correct, and . Signamre of Asseswr Oate signed
complete.
vArifying action - Signamre ot Autliror Date signetl
� � STANDARD DEDUCTION ALLOWANCE
19_Payt9_
Lesser of tl2 Homesiead - �
Valuation or 52,000 S .
Synawre ot Audi;or Date signed