Homestead_Schlumpf�
..•���.a CLAIM FOR HOMESTEAD PROPERTY TAX
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� � � CREDIT/STANDARD DEDUCTION
•?��� Slale Forrn 5473 (R2/i-90)
'"" ` INSTRUCTIONS: See reverse side !or liling instruGions.
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CEFiTIFICATiON STATEMENT
I(We) �( JC�.�.Q/YYl �h •� I�����- cerlify thal on Ih 1 day ol Maich , 19 �
I(We) occupied as our princip place of residence Ihe followiny described real propeity Ior which a I lomeslead
�'roperty Tax Credit is hereby claimed: � I(We) owned ❑ Are buying under contracl
� Flave a benelicial interesl in lhe entily Il�at is liable lor lhe property taxes on Ihe properly and Ilial owns Ihe
properly or is buyiny it under a conlract.
II buying on conlract, Pee Simple
Recoider's ollice where conlracl is
CONTRACT f1ECOliDED
�me
PROPERTY DESCRIPTION
�own,
Number � Paye
Par el Number O Le Uescn���w �_ 3_ �a �, c�/ �'
�- ooa0(o- O S
II any portion ot Ihe residenlial slruclure or ihe land not exceeding one (1) acre Ihal immedialely surrounds Ihat slruc-
ture is used lo produce income describe Ihe use and po�tion ol Ihe properly ulilized to produce income.
_ i � �9-.3o0 -cdo. a�G-�
PROPERTY OWFJED BY CLAIMANT IN OTHER COUNTIES
ASSESSOR USE ONLY 7RUE TAX VAIUE ASSESSED VALUE IIOfdESTEAD VALUE NON-RESIDENT�AL
VALUE
Land nol exceeding 1(one) acre immedialely
surrounding residenlial improvemenls ( � )
Other land (2)
Tolal land • line (1) ptus line (2) (3)
flesidential improvemenls Dwelling (4)
Garege (5)
Olher improvements (6)
Tolal improvements • line (4) lhwugh line (6) (7)
Tolal value • line (3) plus line (7) (B)
I hereby cerlily Ihe above is true, Signalure oi Assesor Dale Siyned
correcl, and complele
Verityuig Aclion - SignaWre ol Auditor Uate Signed
1989 Pay 1990
Lesser ol t!2 fiomestead
Valualion or $2,500
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991 1991 Pay 1992 19—Pay 19—
Lesser ol 1/2 I lomestead Lesser ol t/2 Homeslead Lesser ol 1/2 Flomeslead
Valualion or $2,000 Valualion or $1,500 Vaivation or $1,500
Signalure oi Auditor /� /� /,1 �'WX( /t,�� I DJr��D n�% Z
� /li1 �L2./ e