Homestead_Lasley;T., �
'� � � �,`
d���. CLAIM FOR HOMESTEAD PROPERTY TAX
K A 4
-x'—" �' CREDIT/STANDARD DEDUCTION
:e �. -...y : .
� .� State Form 5473 (R2/1-90)
•� '°° ,� INSTRUCTIONS: See reverse side lor liling_instruction�
CERTIFICATION STATEMENT
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((We) occupied as our principal place of residence the
Property Tax Credit is hereby claimed: ..�
MA ; 2: 199�oRo
Y AR
�
that on the 1 st day of March ; 19
ollo � ribed real property 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 contracL
CONTRACT RECORDED
If buying on contracL Fee Simplf
Recorder's office where coniract
PROPERTY
Township. '
� � Record Number � Page
Parcel Number I Legal Des ri ti � �\ 1 ll� G_�_/' U /�• � r{1 •
��5-Q�3�l-on U..1 ��'�
If any portion 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 use and portion of ihe properiy utilized.to,produce income.
�
_ �i�-/J�-_'�/1/ -Q��
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
ASSESSOR USE ONLY TRUE TAX VALUE . ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
. . � .. . - ve� uc
Land noi exceeding 7(one) acre immediateiy
surrounding residen[ial improvements (�)
Other land (2)
Total land - line (1) plus line (2) (3)
� Residential improvemenis -Dwelling - (4)� - - - - - � -- - � � � � � '
Garage (5)
Oiher impmvements (6)
Total improvemenis - line (4) ihrough 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
��
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991 1991 Pay 7 992
Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or $2,000 Valuation or $1,500
19—Pay 19—
lesser of 7/2 Homesiead
Valuation or $1,500
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