Homestead_WeisheitY_ �__�.
<.�_� . CLAIM FOR.HOMESTEAD PROPERTY-TAX �
d�?��e
CREDIT/STANDARD DEDUCTION
��� State Form 5473 (R2/t-90) � `
�� ,°�� INSTRUCTIONS: See reverse side for,filing instructions.
CERTIFICATION STATEMENT '
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JUL 3 01992
� �1 wr�rix� ,v , ci ,S
I(We) e �� �A( certify that on the 1 st da�bb@G�@� , 19 �
(I (We) occupied as our principal place of residence the following described real property for which a Homestead
Property Tax�Credit is hereby claimed: ��t'(�Ne) 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 RECORDED
If buying on contracL Fee Simple Owner's Name
Recorder's office where contract
PROPERTY DESCRIPTION
IRecord Number I Page
i; tawn, township)
ra� 'J� U 6��� �- 0.� I �el'/!�"�e�ipi �^' V'�- �' �i.��-�uJ ag-a -►1 .�. 060� iTC
If any portion of the residential structure or the iand not exceeding one ( 7) acre that immediately 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
hereby certify the above statemenis are true. correct and�
____i_._ ' . �i I . J
nu er, city, state and Z code)
� X i � �� -►�' (' w�.v� u�` l€ . --�� Y7s6 S-
ASSESSOR USE ONLY TRUE TAX VALUE � ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land not exceeding 1(one) acre immediately
surrounding residential improvemenls (�)
Oiherland (2)
Total land - line (7 ) plus line (2) (3)
Residential improvemeNS Dwelling (4) � - � - - �
Garage (5)
O[her improvemenis (6)
Total improvements - line (4) through line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify the above is [rue, Signature o( Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Date Signed
1989 Pay 1990
sser of 1/2 Homestead
Valuation or $2,500
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991
Lesser of 7/2 Homestead
Valuation or $2,000
1991 Pay 7 992 19 — Pay 19 —
Lesser of 7/2 Homestead Lesser of 7/2 Homestead
Valuation or 51.500 Valuation or 51,500
Signature of Auditor �`I � n/l I Date Signed
IMMP ����� in��� "7.�n_O'