Homestead_Singletond..��, CLAIM FOR HOMESTEAD PROPERTY TAX
�� �'- CREDIT/STANDARD DEDUCTION
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' State Form 5473 (R2/1-90) �
'°�• � INSTRUCTIONS: See reverse side lor filing instructions.
CERTIFICATION STATEMENT
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APR 121991 . '
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'(We) certify that on the 1st daQ�liiil� � is Ci 1
I(We) o pied as our principal place of re dence the fqllowing described real property for which a Homestead
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Property Tax Credit is hereby claimed: ld I(We) owned ❑ Are buying under contract
Have a beneficial interest in the entity thai is liable for the property taxes on the property and that owns the
� property o� is buying it under a contract. '
CONTRACT RECORDED
Ii buying on contracf. Fee Simple Owner's Name �. �
Recorder's office where contract is recorded - Record Number Page .
Parcel
PROPERTY DESCRIPTION` • •
� _ � Taxing District (City, town, township)
Legal Description
lo",(�IJ -VO� ,oc�-l:.v� ,�_ ov v.. , -3 ,�, v-`�_ — , ,"
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 the property utilized to produce income.
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PROPERTY OWNED BY CLAIMANT IN OTHER
Township � unty
I hereby certify the above siatements are true, correci and
Address (Sireet, number, city, state
ES
ASSESSOR USE ONLY� . TRUE TAX VALUE . ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
veinc
Land not ezceeding 7(one) acre immediately � �
surrounding residential improvemenis (�)
Oiherland (z)
Total land - line (7 ) plus line (2) (3)
Residential improvements Dwelling (4) - � -
Garage (5) .
Oiher improvemenis (6)
Total improvemenis - line (4) [hrough line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify the above is true. Signature of Assesor Date Signed
correci, and complete
Verifying Action - Signature of Auditor Date Signed
- 7 989 Pay 7 990
Lesser of 7/2 Homestead
Valuation or $2.500
Signature of Auditor
e
STANDARD DEDUCTION ALLOWANCE
1990 Pay 7991 1991 Pay 1992 19—Pay 79—
Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or $2.000 Valuation or $1,500 Valuation or $1,500