HomeMy WebLinkAboutHomestead_Moore (5)�[ R��
a� g CLAIM FOR HOMESTEAD PROPERTY TAX
='�'E CREDIT/STANDARD DEDUCTION
� �� State Form 5473 (R2 / 5-92)
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INSTRUCTIONS: See reve�se side 7or 7iling instructions.
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as our principal place of
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II! 1 � ��
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��/'� o'�C7 "` certify ihat on the 1 si day of March, 19��
the following described real propeAy for which a Homesiead Property Tau Credit is hereby claimed:
I(We) owned ❑ Are buying under contract
Have a beneficial interest in the entity that is liable for ihe property taxes on the property and Ihai owns ihe property or is buying under a contraci.
. CONTRACTRECORDED
It buying on contrect, Fee Simpte owner's name �
Recorder'S o8ice where crontract is recortled Record number Page
Counry
- PROPERTY DESCRIPTION
Township Taxing distria (
PaQrcel Iumb,erQ� ���� I Legal descript(on �� �
l
If any ponion ot the residential strucwre or the land not exceeding one (1) acre thai immediatety surtounds that sWCture is used to produce income, describe the use and portion
of the propeny utiiizetl to produce income.
ASSESSOR USE ONLV _ TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL.
. VALUE VALUE VALUE VALUE
Land not exceeding t(one) acre immediately
surrounding residential improvements. (� �
Otherland (p) / �� .
Total land (line 7 plus line 2� (3)
Dwelling (4) � �
Residential impmvements � ,
Garage (5� � r � si . -
Other improvements (6) i i ��
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Total improvements (line 4 th�ough line � (7)
Total value (line 3 p�s line � (g) �
I hereby certity Ihe above is ime, correct, and � Signamre of Assessor Da�e signed
complete.
ing aaion - Signanre of Audiror Date signetl
19_Pay19_
Lesser of tl2 Homestead
Valuation or 52.000 �
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STANDARD DEDUCTION
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Date