HomeMy WebLinkAboutHomestead_Lowe".�•�
e� �' � CLAIM FOR HOMESTEAD PROPERTY TAX
;E�'� CREDIT/STANDARD DEDUCTION
�:;'� State Fortn 5473 (R2 / 5-92)
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INSTRUCTIONS: See reverse side for (iling instructions.
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..' . . liCI511f IMX 11 V 1Y J I N I CMCIY 1 .• • •
I(We) ' certity Ihai on Ih�ytg( t�Gcn/4�(pWN1—S
I(We) occu ed as our principal place of residence the following described real property tor.which a�HOmestead Property Taz Credit1s ��ei�by�cra em d:
(We) owned ❑ Are buying under contraci � . . �
fave a beneficial interesi in the eniity that is liable for the property taxes on the property and ihat owns the property or is buying under a coniraci.
� CONTRACT RECORDED � � � �
It buying om m�uact, Fee Simple owner's name � . � �
Recorder's ottice where convact is recortled - Record number Page
Counry
Parcel number
TownShip _
Legal description
tl any portion of the residential strucmre or Ne land not exceeding
of the pmperty utilized to protluce inwme.
�!L/�V'/.�//1/�
PROPEHTY DESCRIPTION
Taxing disiria (ciry, fown, rownship)
:� 3�-a.--i � a: 3s i �
(1) aae that immediatety surmunds t�at strucNre is used ro produce income,
Ne use
ASSESSOR USE ONLY � TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL_
- VALUE VALUE VAWE VALUE
Land noi exceedinq 7(one) acre immediately
surrounding resideniial improvemenis. (�) �
Oiherland (2)
Total land (line 7 p/us line � (3� '�
Dwelling (4) . � �
Residential improvements
Garage (g) �
Other impmvemenis (6) `
Total improvemems Qine 4 throvgh line � (7)
Total value (line 3 p�s line 7� (g)
I hereby CBrtify Ihe above is true, correCi, and Signamre of Assessor Date signed
complete. .
Verirying aaion - Signa:ure of Audiror Date signed
�f - - STANDARD DEDUCTION ALIOWANCE
79_Pay79_
Lesser of 1/2 Homestead
Valuation or 52,000 S
Sgnature of Audiror - Date si ned
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