HomeMy WebLinkAboutHomestead_Wallace (8)ar=•R, CLAIM FOR HO STEAD PROPERTY TAX
��--y ; CREDIT/STANDARD DEDUCTION
:� State Form 5473 (R2/1-90) -� -
�'°�• � INSTRUCTIONS: See reverse side for Iiling instructions.
CERTIFICATION STATEMENT
FORM
HC10
✓
YEAR
�
)�JQ-,.o-w�C �. WO,�X,a�.� certify that on the 1st day of March , 19 9�
occupied as our principal place of residence the following described real property for which a Homestead
rty Tax Credit is hereby claimed: �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 it under a contract. .
If buying on contract. Fee
Recorder's office where contract
� I T
RECORDED
PROPERTY DESCRIPTION
� `� P�
(City, town, township)
If any portion of the residential structure or the land not exc�eding 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 � e
Township County Townsh
certify ihe above statements are irue. correct and
, . • • �
Address (Street, number. city, state and
- ASSESSOR�USE ONLY �
code)
�TRUE TAX VALUE� ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land noi exceeding 7(one) acre immediately --_" . .
surrounding resideniiai improvements (�)
Oiherland (2)
� Total land - line (7 ) plus line (2) (3)
Resideniiat improvemenis . Dwelling . (4)
Garage (5)
Other improvements (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 Action - Signature of Auditor Date Signed
1989 Pay 1990
-' Lesser of 7/2 Homestead
Valuation or $2,500
STANDARD DEDUCTION ALLOWANCE
1990 Pay 7991
Lesser of 1/2 Homestead
Valuation or $2.000
1991 Pay 1992 19 — Pay 19 —
Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or �1,500 Valuation or $1,500
Signature of Au t •� �/� Uate Sn
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