HomeMy WebLinkAboutHomestead_Siekman (8)CLAIM FOR HOMESTEAD4yR PERTY TAX FORM I Y AR
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CREDIT /STANDARD DEDUCTION - Hc10
State Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION,STATEMENT -
I
I (We i y that on the 1st y of March , 19
tVe) occup s our prin pal place of reside a the followin described real propel r ch r 1e lead
operty Tax Credit is hereby claimed: I (We) owned ❑ ' A I betiyti+tR1lg� d "ex tract
El property a beneficial interest in the entity that is liable for the property taxes on the propertylandth(�cwns the
property or is buying it under a contract.
Y1Ly�'s
CONTRACT RECORDED " InITOR U
If buying on contract. Fee Simple Owner's Name
office where contract is recorded
PROPERTY DESCRIPTIO
Count Township Taxing D' ' t it , , township)
Legal Desc i do
It any portion of,the residential structure or t e land not exceeding one (1) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
_.
7
Township.. — Caartfy --- Tow=
y certify the above statements are true. correct arid- - ignatur - v
te. - �. o—
%s (street. number/ city, state and ZIP code)
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL
VALUE
Land 'not exceeding t (one) acre immediately
surrounding residential improvements
Other land
Total land - line (1) plus line (2)
. Residential. improvements _ _ Dwelling
Garage
Other improvements
Total improvements - line (4) through line (6)
Total value - line (3) plus line (7)
(1)
1991 Pay 1992
Lesser of 1/2 Homestead
Valuation or $1,500
19— Pay 19 -
Lesser of 1/2 Homestead
Valuation or $1,500
(2)
Signature of A i
(3)
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(4)
-
(5)
(6)
(7)
(8)
_
I hereby certify the above is true,
correct, and complete
Signature of Assesor
Date Signed
Verifying Action - Signature of Auditor
Date Signed
STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990
- Lesser of 112 Homestead
Valuation or $2,500
1990 Pay 1991
Lesser of 1/2 Homestead
Valuation or $2.000
1991 Pay 1992
Lesser of 1/2 Homestead
Valuation or $1,500
19— Pay 19 -
Lesser of 1/2 Homestead
Valuation or $1,500
Signature of A i
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