Homestead_Veit. :"
r
- � -. .R OD�S -�o �9a-D v
.��/•�^ • CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
C/ -✓'..A Q{ . . . .
:s'� � ` CREDIT/STANDARD DEDUCTION , io . �9p/
s .-'..y ':
':��' State Form 5473 (R2/1-90)
�'°�° INSTRUCTIONS: See reve�se side for filing ins�ructions.
CERTIFICATION STATEMENT N��Y 1 O 199� .
I(We) � • � ertify that on t, ��
A DITO��
�( We) place of resi nce the following described real property or which a Homestead
Property Tax Credit is hereby claimed: L� I(We) owned ❑ Are buying under contract
�Have a beneficial interest in the entity that is liable fo� the property taxes on the property and that owns the
property or is buying it under a contract.
If buying on contract, Fee
Recorder's office where contract
Parcel
CONTRACT RECORDED
Name
PROPERTY; DESCRI PTION
• . Tnvinn fliefrir
town,
If any portion of the residential structure-or the iand not exceeding one (7 ) acre that immediately surrounds that struo-.
ture isused toproduce income describe ihe use and.portion of the property utilized to produce income.
-a/-/�D �•
�PROPE
OWNED BY CLAIMANT IN OTHER COUNTIES
ASSESSOR USE ONLY � TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENiIAL
� ' .. ' vei uF
Land not exceeding 1(one) acre immediately
surrounding resideniial improvements (�)
Other�and (2)
Total land - line (7 ) plus line (2) (3)
� Residential improvemeMS Dwelling- (4) - � - - - • -
Garage (5)
Other improvemenis (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
of Auditor
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991 1991 Pay 1992
Lesser of 7/2 Homestead Lesser of 1/2 Homestead
Valuation or $2.000 Valuation or 51,500
a
19—Pay 19—
Lesser of 1/2 Homestead
Valuation or $1,500
Date Signed
.4 =/o — ;