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Homestead_SnodgrassSd�-���'`..-„Q�l. _ i::"_F�R HOMESTEAD F4_)?EN�;Y_. AX , `���CkEDIT/STANDARD DEDUCTION � Stale Form 5473 (R2/1-90) '°�• . INSTRUCTIONS: See reverse side (or Iiling instructions. ... • CERTIFICATION STATEMENT FORM YEAR HC10 �� O0.S ' OoaS8 %���� � � '• I(We) ��� Wr"'�. certify that on the 1 st day of March , 19 � I(We) occupied as our principal place of r sidence the following described real property for which a Homestead P�^oerty Tax Credit is hereby claimed: ,([�Y(�Ne) owned ❑ Are buying under contract �Have a bene(icial interest in the entity lhat is Iiable for the property taxes on the property and that owns the property or is buying it under a contract. �i. on contracl, Fee Simple Recorder's Couniy where contract is � CONTRACT RECORDED PROPERTY DESCRIPTION � Taxing Distric Number � Page Parcel Nu ber Leg cripu " ��'-o�os� ' . - �o - �-�I I . 7a A�- If any portion of the residential struciure or the land not exceeding one (1) acre ihat immediately surrounds that struc- ture is used to produce income describe the use and portion of the property utilized to produce income. _ //_'�� _ ��n _ 000. D��'- PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES � JUN t ; • ASSESSOR USE ONLY � TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-flESIDENTl��90 VALUE Land not exceeding t(one) acre immediately S surrounding residential improvements (�1 AUDITOR Otherland � (2) Total land - line (1) plus line (2) (3) Residentialimprovements :Dwelling (4) Garage (5) Other improvements (6) Total improvements - line (4) through line (6) (7) Tolal value - line (3) plus line �7) (8) I hereby certi(y the above is true, Signature of Assesor Date Signed correct, and complete Verifying Action - SignaWre of Auditor Date Signed 1989 Pay 1990 �;sser of i/2 Homestead Valuation or �u2,500 SignaWre of Auditor STANDARD DEDUCTION ALLOWANCE 1990 Pay 1991 " Lesser o( t/2 Homeslead �I Valuation or $2,000 i, � F�J 1991 Pay 1992 19 — Pay 19 — Lesser oi 1/2 Homestead Lesser of 1l2 Homestead Valuation or $1,500 Valuation or $1,500