Homestead_Resenbeck (2)ei '�"�`g CLAIM FOR HOMESTEAD PROPERTY TAX
���� CREDITISTANDARD DEDUCTION
`.,�e , �� State Form 5473 (R2 / 5-92)
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INSTRUCTIONS: See �everse side lor7iling in5truction5.
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under contract ..
Have a beneticial interest in the entity thai is liable for the property taxes on ihe property and that owns the property or is buying under a coniract.
� -CONTRACTRECORDED �
If buying on contracl, Fee Simple owner's name '� �
Rewrder's otfice where contracl is recorded Recortl number Page
Coun�y
Township
PROPERTY
rownship)
Pdreelnumber. � 1�' ILegayd@�ptio� � I� _� _ � � �- ��� l �'�
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It any portion ot the residential strucNre or the land not exceetling one (1) aae ihat immediatety wrrounds that strucmre is usetl ro protluce income, describe the use and portion
of the property utilized to produce income. , � ,
�2/ - /� /� - oo -D�O: 97/- Qo� /
� PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township County �_ Township
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certify the above statemenis are true, correct and complete.
ZIP
ASSESSOR USE ONLY � TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL..
VALUE VALUE VALUE VALUE
Land not exceeding 7(one) acre immediately - � " �
surrounding residential improvements. (�) .
Oiherland (p)
Total land (line 7 plus line Z� �(3)
Dwelling (4) �
Residential improvemenis
Garage (5)
Other improvements (6)
Total improvements (line 4 Ihrough line � (7)
Total value (line 3 p�s line 7� (g)
I hereby certify the above is irue. correct, and Signature ot Assessor � Da2e signed
complete. �
ying action - Signature ot Autlitor Date signed
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19_Pay19_
Lesser ot 1/2 Homestead
Valuation or 52.000
STANDARD DEDUCTION AILOWANCE
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