Homestead_Larkins (2).••�� CLAIM FOR HOMESTEAD PROPERTY TAX
d� i�°
��" � ; CREDIT/STANDARD DEDUCTION
� State Form 5473 (R2/1-90) '•- �
�' '°;• �� INSTRUCTIONS: See rever e side for filing nstructions.
. � ERTIFICANOR�5TA7EM NT -
FORM YEAR
" HC10 �
, ��S � �'I ���
i (We) -
I(We) oc pied as our princ pal place of residence the followingdescribed real property for which a Homestead
�--� /
Property Tax Credit is heretiy claimed: —��'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. , , ,._ `�ij�� ��
CONTRACT RECORDED
If buying on contract. Fee SimplE
Recorder's office where contract
DESCR
: (� .� _ I Township
i:ir �
Recor Number
1 C.;.: �
Page
Alumb r Legal e c on
��� -8�a�6�oc � - � ��� - y f �j - -/I � �-
If any portion of the residential siructure or the land not exceeding one (1) acre that immediately surrounds that struc-
ture is used to produce income describe t use and portion of the property utilized to procJuce income.
�Q //�o�' . //370 ,�. ��
/:Sae/r�n„� .�oo.r,e i�3o �✓,e„�!-//-/9- �`oo-�D/. O�?�- O�-/
- PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
unty �_ Township .
I hereby certify ihe above statements are irue, correcCand
complete. � � - -
Addre (Street, number, city, state nd ZIP code)
%�,P� ir� �a /� �__.�-�
- - .-. , -- -
- ASSESSOR USE ONLY � � - THUE TAX VAWE -� ASSESSED VALUE HOMESTEAD VALUE
Land not exceeding 1. (one) acre immediately
surrounding residential improvements
Otherland
Total land - line (7) plus line (2)
Residential improvements Dwelling .
Garage
Otherimprovements
Total improvements - line (4) through line (6)
7otal value - line (3) plus line (7)
I hereby certify the above is true,
correct, and complete
I�)
(2)
(3)
�4)
(5)
(6)
��)
(8)
NON-RESIDENTIAL
VALUE
Date Signed
STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990 7 990 Pay 1991 1991 Pay 1992 19 — Pay 19 —
Lesser oi 1/2 Homestead Lesser of 1/2 Homestead Lesser of 7/2 Homestead Lesser of 1/2 Homestead
Valuation or $2,500 Valuation or $2.000 Valuation or �7,500 Valuation or $1,500
`f
Auditor