HomeMy WebLinkAboutHomestead_Armstrong (3)Ir' - � . D0�-oo0 ��
.�•^•�•- CLAIM FOR HOMESTEAD PROPERTY TAX
d� �
>':� y ' CREDIT/STANDARD DEDUCTION
:� State Form 5473 (R 2/1-90)
�' '°'• � INSTRUCTIONS: See �everse side for filing instructions.
FORM � E R
HC10 _ �
CERTIFIC TION STATEMENT
I(We _ �� that on the 1 st day of March , 19
M(We) o upied as our principal place of residence the foliowin scribed real property for which a Homestead
Property Tax Credit is hereby claimed: I(We) owned ❑ Are buying under contract
� Have a beneficial interesf in the entity that is liable for the property taxes on the property and that owns the
property or is buying it undera cont�act
CONTRACT RECORDED
on contract,
where contract is recorded
PROPERTY DESCRIPTION
County �.}'. � .� � � Township
��e/ UmU4O%%0(')I �egP�l�npu�YSL 1�0� �� � �`� �/ o� / • ���S�CZc
l T t1
If any portion of the residential structure or the land not exceeding one (7 ) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
�l - %�-�%- �a6 - Oc�O. o i 7- O � �
. �
. - PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township - Township
I hereby ceriify the above_ statements are true, correct and� ` �nature m �_
ASSESSOR USE ONLY�
siate
�v
TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land noi ezceeding 7(one) acre immediately
surrounding residential improvements ��)
Otherland (2)
Total land - line (7) 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) 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
>ser of 1/2 Homestead
Valuation or $2,500
��
fi'ature of Auditor
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1997 1997 Pay 7992
Lesser of 1/2 Homestead Lesser of 1/2 Homesiead
Valuation or $2.000 Valuation or �7,500
19—Pay 19—
Lesser of 7/2 Homestead
Valuation or $7,500
r� t�7 C9 Rt7�.7 �S'a' +Z.
�