Homestead_Miller (4)�, CLAIM FOR HOMESTEAD PROPERTY TA;
d�� ` CREDIT/STANDARD DEDUCTION
; r-� .� ';
�•`• � � :� State Form 5473 (R2/1-90)
INSTRUCTIONS:'See reverse side for Iiling ;nstructions.
' CE
�I'( e) principal p
�perty Tax Credit is hereby claimed
FORM
HC10
�S- 01883
—�
. ., certi that on the 1 st day of March , 19
th g described real rt for which a Homestead
❑ 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.
�i � CONTRACT RECORDED
Parcel Number
('i0� nl.AR3 =
If any portion of ihe
ture is used to pr di
�i:rni.ti � _
;I'� PROPERTY DESCRIPTION
jTownship Ta n�{ g Pistri�t (City, town, townshjp�(� �
; . : �+:',T- � _ �T �
iLegal Descripti�n � � ��� �I
,I-. 1%-2-// . �
;structure or the land noi exceeding one (1) acre that immediately surrounds that struc-
��describe the use and portion of ihe property utilized to produce income.
(Iti
�a/ -//-/ 7 �O - G�/. h�f'3-G�-/
!��� - - -- --
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Couniy �_ ;Township Couniy Township
�-
�reby certify the above statements are irue, correct and Signature • '
mplete. i' � {
Address (Street, number, city, state and ZIP code)
ASSESSOR USE ONLY �. �` TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON•RESIDENTIAL ''
VALUE
Land not exceeding 1(one) acre immediately ' •
surrounding resideniial improvements (�) ' �
Other land � � (2)
Total land - line (1) plus line (2) ;� (3)
Residential improvemenis Dwelling (4) '"
Garage (5)
i
Oiher improvemenis I (6)
Total improvements - 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
• STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990 1990 Pay 1991 1997 Pay 1992
Lesser ot t/2 Homestead ,Lesser of 1/2 Homestead Lesser of il2 Homestead
Valuation or �2,500 ' Valuation or $2,000 Vaivation or $t,500
� l i. —,
ofAuditor� •ii,
19—Pay 19—
Lesser of 1/2 Homestead
Valuation or $7,500
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