HomeMy WebLinkAboutHomestead_Schmitt (3)CLAIM FOR HOMESTEAD PROPERTY TAX
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CREDIT /STANDARD DEDUCTION
State Form 5473 (R2 15-92)
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INSTRUCTIONS: See reverse side for filing instructions.
In
1 x
rNe) n' G � N. - certify that on the I st day of March, 19_
Pmupied as our principal place of residence the foil wl, d cribed real property for which a Homestead Property Tax Credit is hereby claimed:
I (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 under a contract.
CONTRACT RECORDED
If buying on contract, Fee Simple owner's name _
Recorder's office where contract is recorded Record number Page
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
PROPERTY DESCRIPTION
County -
Township
Township
Taxing trill (city; town, township) - -
Parcel number
00 ► -6 Flw -cn
Legal description
► �a
If any portion of the residential structure or the land not exceeding one (1) acre that immediately, surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Township
�eby certify the above statements are true, correct and complete.
Si ure .mant
Address (number and street, city, state, ZIP code) Vj
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON- RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
/
S
Other land
(2)
Sn nature of Auditor Date sign
Total land (line I plus line 2)
(3)
,
Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 jobs line 7)
(6)
hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
tying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19 Pay 19_
Lesser of 1/2 Homestead
/
S
Valuation or 52,000
Sn nature of Auditor Date sign