Homestead_Short (4).��••. CLAIM FOR H2OMESTEAD PROPERTY TAX
ai'%:^ °
�` y ' CREDIT/STANDARD DEDUCTION
.� State Form 5473 (R2/1-90) �
�'°�• � INSTRUCTIONS: See reverse side Ior filing instructions.
CERTIFICATION STATEMENT
FORM YEAR
H�,o qo
QOS-o(6z�
I(We) �,���(� ��Y1� 9M� cr.�,��� certify that on the 1st day of March , 19- f V
''` e) occupied as our principai place of residence the fo owing described real property for which a Homestead
!'I
,perty Tax Credit is hereiy 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.
on contract. Fee
office
� � CONTRACT RECORDED
imole Owner's Name
PROPERTY DESCRIPTION
� Taxing Distric
Number
town, township)
Parcel Num e ((�N/�'��uascnpuon � \� � ��" � _' � �.I� � C
'� (�S - � �� a-� -6 f� ���
It any portion of the residential structure or the land not exceeding one (1) acre that �mmediately surrounds ihat struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
_ // -. -�. 2 - �D �/. �oci� -�� �
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
ASSESSOR USE ONLY � TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON•RESIDENTIAL
VALUE
Land not exceeding 7(one) acre immediately
surrounding resideniial improvements (�)
Otherland � l2)
Total land - line (1) plus line (2) (3)
Residential improvements Dwelling (4)
Garage (5)
Oiher improvemenis (6)
Tota� improvements - line (4) through 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
Veritying Action - Signature of Auditor Date Signed
1989 Pay 1990
Lesser of 1/2 Homestead
Valuation or $2,500
�
Signature of Auditor
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991
Lesser of 1/2 Homestead
Valuation or $2,000
�
1991 Pay 1992 �9—Pay �9—
Lesser of 1/2 Homestead Lesser of tl2 Homestead
Valuation or $1,500 Valuation or $7,500
Date Signe
-�i � l.l –