Homestead_Wright (6)L� .d.��•�, CLAIM FOR HOMESTEAD PROPERTY 7AX d`�,���� FoRM YEAR
�- ` CREDIT/STANDARD DEDUCTION �5-�v � �
. . y ' HC10
� .' State Form 5473 (R2/1 90)
�' '°�° � INSTRUCTIONS: See reverse side (or (iling instructions. �����
CERTIFICATION STATEMENT
`(N/ej/�/ �����_ ��,� �rtify that on the"1�tYd�"y`bf�1Natch , 19
I(We)1Sccupied as our principal place of residence the following described re roperty�r ic �-lomestead
Property Tax Credit is hereby claimed: � ❑ I(We) owned p(�bT�i 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.
� � CO
on contracL Fee Simple Owner's Name
Recorder's office where contract is recorded
RECORDED "
• PROPERTY DESCRIPTION
iip . T�xing District (City, town, township)
. _ �-JYl �: -- - - - -
Parcel Number L�e9al D scri tion � .
�lGr 0/G �/- �� CL �� 3a - 2— // ��, s�3s��c,
If any portion of ihe residential structure or the land not exceeding one (t) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
_ //- _ 3� - �oa -ocY. G/i a;
ASSESSOH USE ONLY � TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE . NON-RESIDENTIAL
VALUE
Land not exceeding 7(one) acre immediately '
surrounding resideniial improvemenis (�)
Oiher land (Z)
Total land - line (7 ) plus line (2) (3)
Residentiahimprovements - Dwelling-- (4)-- - � - �- - - � - - - �
Garage (5)
Other improvements (6)
Total improvemenis - line (4) through line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify the above is lrue, Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Date Signed
1989 Pay 7990
Lesser of 7/2 Homestead
Valuation or $2.500
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991 1991 Pay 1992 7 9— Pay 19 —
Lesser of 1/2 Homestead Lesser of 7/2 Homestead Lesser of 1/2 Homestead
Valuation or �2.000 Valuation or $7.500 Valuation or $1,500
Signature of Auditor I Date Signed