Homestead_Straw (4)i .
CLAIM FOR HOMESTEAD PRORERTY TAX
CREDIT/STANDARD DEDUCTION �
State Form 5473 (R2/1-90)
INSTRUCTIONS: See reve�se side for filing instructions.
STATEMENT
FORM _ _ YEAR
HC10 ���
pps b�
`� '``� �
I(We) w� � _ certify that on the 1 sf day of March , 19 �
I( We) occupied as our prin place of residence the fo ing described real property for which a Homestead
Property Tax Credit is hereby claimed: I(We) owned ❑ Are buying under contract
Have a beneficial interest in the entity that is liable for the property taxes o t owns the
�� property or is buying it under a contract. �����
CONTRACT RECORDED NIAY O J �991
PROPERTY DESCRIPTION . -
Taxing District
Legal
If any portion of the residential structure(� the land not exceeding one (1) acre that imrhediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
"ounty Township County Township
I hereby cenify the above statements are true, correct and ature
complete. � �
Address (Street. number. city, state and ZIP code) . �
ASSESSOR USE ONLY � TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALIJE
Land noi exceeding 1(one) acre immediately '
surrounding residential improvements (�)
Other land . (2)
Total land - line (7) plus line (2) (3) �
-Residential�improvements Dwelling (a) - - - � - -
Garage (5)
Oiher improvemen[s (6)
Total improvemenis - line (4) ihrough 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
Verifying Action - Signature of Auditor Date Signed
1989 Pay 1990
Lesser of 1/2 Homestead
Valuation or $2,500
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991 1991 Pay 1992 19 — Pay 19 —
Lesser of 1/2 Homestead Lesser of 7/2 Homestead Lesser of 1/2 Homesiead
Vatuation or S2.000 Valuation or 51,500 Valuation or $1,500
of Audilor � 1^ n I��ni
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