Homestead_Wilson.' 1 C " . .. _ . . �
.��R•�•4 CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
' d�
�:'� w : CREDIT/STANDARD DEDUCTION Hcio
:� State Form 5473 (R2/1-90)
.'°�• �..INSTRUCTIONS: See reverse side for filing instructions. ,,1
CERTIFICATION STATEMENT ' � -.i.�- �
i(We) ��y��/YLCn C- � c X/h_rno, _ G:J [�/��IG�ertify that on the 1 s�t 'Iday of M rcl��
�I (We) occupied as our pri pal place of residence t,_h,_e, /fpIlowing described real prope�t���R mestead
Property Tax Credit is hereby claimed: Lld" I(We) owned ❑ Are buying under contract
� Have a beneficial interest in ihe entfty that is liable for the property taxes on the property and that owns the
property or is buying it under a contract.
CONTRACT RECORDED
Ii buying on contracL Fee Simple Owner's Name .
Recorder's office where contract is recorded ' . Record Number Page
PROPERTY DESCRIPTION
Township
town,
�arcel Number Legal Description -
.s��rb��Dv �E-�.vlJ�c�- (—?,-)a b. c� RL.
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 the use and portion of the property utilized to produce income.
nsieiioii is
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
� ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON•RESIDENTIAL
' VALUE
' Land noi exceeding t(one) acre immediately
surrounding residential improvemenis (�)
� Oiherland (2)
:�
Total land - line (1) plus line (2) (3)
Residential improvements Dwelling (4) �� � - - �
Garage (5)
Other improvemenis (6)
Total improvements - 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 complete
Verifying Action - Signature of Auditor Date Signed
1989 Pay 1990
Lesser of 7/2 Homestead
Valuation or $2,500
Signature of
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991 1991 Pay 1992 19 — Pay 19 —
Lesser of 7/2 Homestead Lesser of 1/2 Homestead Lesser oi 1/2 Homestead
Valuation or $2,000 Valuation or $1,500 Valuation or 51,500