Homestead_Mauck (3).�E•=•�• CLAIM FOR HOMESTEAD PROPERTY•TAX
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;:�_-, : CREDIT/STANDARD DEDUCTION ���
���� State Form 5473 (R2/1 90) � �
'°�° INSTRUCTIONS_ See reverse side for liling inst�uctions. . �
CERTIFICATION STATEMENT
FORM YEAR
HC10 �
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`(We) �_�Jl �% m(,`�,,u,ca{L,- certify that on the 1 st day of March , 19 �
I� p o principal place of residence the f wing described real property for which a Homestead
P p hereby claimed: I(We) owned - ❑ Are buying under contract
Have a b ial interest in tFie en(ity that is iiable for the property taxes on the property and that owns the
� �i��erty �r��uying it�under a contract.
If buying on contract.
Recorder's office whE
County
Parcel Number
coniract is recorded
Township
Legal
CONTRACT RECORDED
PROPERTY DESCRIPTION -
Record Number Page
town,
� v
If any portion of the residential structure or the land not exceeding one (7 ) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
6
- Ct�/_ /o?o - ��--/
PROPERTY OWNED BY CLAIMANT IN OTHEFi COUNTIES
ASSESSOR USE ONLY � . TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
. -. . - vei nc
Land not exceeding 1(one) acre immediately '
surrounding resideniial improvements (�)
Otherland (2)
Total land - line (t) plus line (2) (3)
- Residen[ial improvements - ' Dwelling- � (4) - -- - - � � ` - - - �
Garage (5)
Other improvemenis (6)
To[al improvements - line (4) through line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify ihe above is true, Signature of Assesor Date Signed
correct, and complete
Verifying Aciion - Signature of Auditor Date Signed
7989 Pay 1990
Lesser of 1/2 Homestead
Valuation or $2,500
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991 1991 Pay 1992 19 — Pay 19 —
Lesser of 1/2 Homesiead Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or $2.000 Valuation or �1.500 Valuation or �1,500
Signature of Auditor � �__, � Date Signed