HomeMy WebLinkAboutHomestead_Kiesel (4)`� �. ---.
d�A.,, CLAIM FOR HOMESTEAD PROPERTY TAX
:_'� '- CREDIT/STANDARD DEDUCTION
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� :� State Form 5473 (R2/1-90)
�' '°�• � INSTRUCTIONS: See reverse side for liling instructions. .
CERTIFICATION STATEMENT
FORM � YEAR
HC10 �
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I(We) 1�__ l'} R(�,ZQ• (.�'�_l��Ki��er�it�that on the 1 st of arch 19 �
�1' s��� 1"� ;��:j
�(We) occupied as r principal place of residence the fotlowi ��d�scribed real property for whicti a Homestead
Property Tax Credit is hereby claimed: � I(We) owned ��bu�yng,usideycontract
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� Have a beneficial interest in the entity that is liable for the property taxes on the pro���2�'d that owns the
property or is buying it under a contract. ,
If buying on contract.
recorded
Township
CONTRACT RECORDED
PROPERTY DESCRIPTION
,
Number, � � Page ' .
911e�Nu�mbr�erp5_Q� I LegalDescription��N� �/,'3—l� .�gl�iL
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If any portion of the residential structure or the land not exceeding one (7 ) acre thai immediately surrounds that struc-
ture is used to produce income describe ihe use and portion of the property utilized to produce income.
- PROPERTY OWNED BY CLAIMANT IN OTFIER
Township" - County
hereby certify the above statements are true. correci and .��"
Address (Street, number, city. state
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'�/�
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ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON•RESIDENTIAL
� VALUE
Land not exceeding t(one) acre immediately
surrounding resideniial improvements (�)
Oiherland (2)
Total land - line (t ) plus line (2) (3)
Resideniial improvements Dwelling - (4) - �
Garage (5)
Oiher 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 Aciion - Signature of Auditor Date Signed
1989 Pay 1990
Lesser of 7/2 Homestead
Valuation or $2,500
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991
Lesser of 1/2 Homestead
Valuation or $2.000
��
1991 Pay 1992 19 — Pay 19 —
Lesser of 1/2 Homestead Lesser of 7/2 Homestead
Valuation or 51,500 Valuation or 57,500
Signature of Auditor' � _ � Date Signed