Homestead_Mulkey.�•n•�, CLAIM FOR HOMESTEAD PROPERTY TAX
d tP .
�_'� � ; CREDIT/STANDARD DEDUCTION _
.� State Form 5473 (R2/1-90)
,' '°�° � INSTRUCTIONS: See reverse side Ior filing inst�uctions.
CERTIFICATION STATEMENT
FORM
HC10
YEAR
�
c�p 5-po�s5
I(We) certify that on the 1st day of March ,�19 /�
i(We) occupied as our principal place of residenc e fo owing described real property for which a Homestead
Property Tax Credit is hereby claimed: . I(We) owned ,❑ Are buying under contract
� Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the
property or is buying it under a contract. .
on contract. Fee
Recorder's office
CONTRACT RECORDED
Name
� PROPERTY DESCRIPTION -
ownship y�� ,.,,' L Taxing District (City, town, township)
Parcel Number Legal Description �` a0-3 -� �
�-c'LV`�s_oo �, �-e- l 1����1c�
If any poRion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that struc-
ture is used to produce income describe.the u�and portion of the property utilized to produce income.
_ PROPERTY.OWNED BY CLAIMANT IN OTHER COUNTIES
County Townshi�_ Countv_� Tow_ ns�
I hereby:certify the above statements are true. correct and Signa ure,
complete. ' ' - � �
Address (Street, number, city. state and ZIP code)
ASSESSOR USE ONLY, . TRUE TAX VALUE � ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land noi exceeding 1(one) acre immeAiately
surrounding residential improvements (�)
Otherland (2)
Total land - line (7) plus line (2) (3)
-ResidentiaPimprovements � Dwelling (4) - - � � - --
Garage (5)
Other improvements (6)
Total improvemenis - line (4) through line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify the above is true, Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Date Signed
1989 Pay 1990
Lesser of 1/2 Homestead
Valuation or $2.500
Signature of
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991 1991 Pay 1992 7 9— Pay 19 —
Lesser of 7/2 Homestead Lesser of 1/2 Homestead Lesser of 7/2 Homestead
Valuation or $2,000 Valuation or �1,500 Valuation or S1,500