Homestead_Viehe�
d�.� �•, CLAIM FOR HOMESTEAD PROPERTY TAX
:� ; ° CREDIT/STANDARD DEDUCTION-
� State Form 5473 (R2/1-90) �
,' '°�• �� INSTRUCTIONS: See �everse side (or (iling instructions.
principal place of residence the following described reai property for which a Homestead
�roperty Tax Credit is hereby claimed: Ll,YI (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.
CONTRACT RECOFiDED
If 6uying on contracl. Fee Simple Owner's Name
Recorder's office where contract is
PROPERTY DESCRIPTION
/ Taxing District (City, town,
Number � Page
��I Ny,mbe�L � �� I Legal Desc�ition � �� c �� � � _ � � ^ � ^
��� �i a� 7�1
If any portion of the residential structure or the land not exceeding one (7 ) acre_that immediately surrounds that struc-
ture is used to,produce income describe ihe use and portion of the property utilized to produce income.
OWNED BY CLAIMANT IN OTHER COUNTIES
County
hereby certify the above statements are irue. correct and
�(Street. number, city. state and ZIP code) " U •
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
- VALUE
Land noi exceeding 7(one) acre immediately ��
surrounding residential improvemenis (� 1 �
Other land (2) �
Total land - line (1) plus line (2) (3)
� Resideniia� improvements - Dwelling (4) - -
Garage (5)
Other improvemenis (6)
Total improvemenis - 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 compiete
Verifying Action - Signature of Auditor Date Signed
1989 Pay 1990
Lesser of 1/2 Homestead
Valuation or $2.500
Signature of Auditor
STANDARD DEDUCTION ALLOWANCE
7990 Pay 1997
Lesser of 1/2 Homestead
Valuation or $2.000
�/I
7991 Pay 1992 19—Pay 19—
Lesser of t/2 Homestead Lesser of 7/2 Homestead
Valuation or S1,500 Valuation or 51,500
Date
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