Homestead_Meadowsd..�;,., CLAIM FOR HOMESTEAD PROPERTY TAX
��'"" ` CREDIT/STANDARD DEDUCTION
.c : '� 7 ':
:� State Form 5473 (R2/1-90)
�' '°�• � INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT
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FORM YEAR
HC10
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I(We) � . certify that on the t a of�Marc .� 9�
1'(We) occupie s our principal place of resid ce the following described real prope�q for wk�iqt�a�-lomestead
� Property Tax Credit is liereby claimed: � I(We) owned ❑ Are buying under contract
� Have a beneficial interest in the entity that is liable for the property taxes on i�����t owns the
property or is buying it under a contract.
If buying on contracl. Fee Simp1E
Recorder's office where contract
CONTRACT RECORDED
PROPERTY DESCRIPTION
Taxing District (City, lown, township)
Parcel Number L al Dq� iption (/
�o� �i6 /o - o o ,�T �/I�,� 9- 3 -ia /.•s�ee
If any portion of the resideniial struciure or the land not exceeding one (1) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township County Township
hereby certify the above siatements are true. correct and , ignature �
complete.
dress (Street. number, city, siate and ZIP code)
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDEN'fIAL
VAWE
Landnotexceeding 1(one)acreimmediateiy
surrounding residential improvements (�)
Oiherland (2)
Total land - line (7 ) plus line (2) (3)
� Residentiai improvements Dwelling (4) - - - � - - - - - � � � -
Garage (5)
Other improvements (6)
Total improvements - line (4) lhrough line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify the above is lrue. Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Date Signed
STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990 1990 Pay 7 991 1991 Pay 7 992 19 — Pay 19 —
_esser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead
J Valuation or $2,500 Valuation or $2,000 Valuation or $1,500 Valuation or �1,500
Signature of Auditor Date Signed