Homestead_Barrett„.�•..
e/ `� CLAIM FOR HOMESTEAD PROPERTY TAX
i,�� CREDIT/STANDARD DEDUCTION
�;� � Sta1e Form 5473 (R2/ 5�92)
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INSTRU , : _ side for liling instmctions.
FORM NEAR
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I(We) certify thai on/Ujeytsliday of•March�l9gs
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I lWe) occupie our principal place of residence the followi crib real propeny tor which a Homestead Property Tax Credi4is�he�eby daimed:
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I (We) owned i � coniract
�J Have a bene!icial in;e est in the entity ihat fs liable for the propeny taxes on (he properry and that owns the property or is buying under a contraa.
It buying on comraCL Fee Simple owner's
Recorder's ottice where �tr. �act is recorded
Counry
CONTRACT
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PROPERTY DESCFiIPTION
Townsh`p � I �` Ta.ing d��`�cl (city. lown. township)
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Record number /
W
Parcel number Legal tle�- ion
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tl any ponion ol the resitlential structure or Ihe land not esceeding one ( t 1 acre thal fmmetliately surmunds that stmcture is usetl to produce income. describe Ihe use and potlion
ol ihe propeny ulilizetl to produce income.
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ASSESSOR USE ONLV TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 7(one) acre immediately I(' I I (
surrounding residentfal improvements.
Otherland (p)
Total land (line 7 plus line Z� I(3) I I
Dwelling (c)
Residential improvements
Garage (5) I
Other improvemen;s I (6)
Total impmvements (line d Ihrough lina 6) (7) I I
Total value (line 3 p�s line 7� I(g)
I hereby certify the above is tme. COrreC�. and I Signature ot Assessor I Date sfgned
complete.
Verityi`g acti0n - Syna;ure ol Autliror I Da;e signetl
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STANDARD DEDUCTION ALLOWANCE
19_Pay79_ I
Lesser of 7l2 Homestead
Valuation or 52.000 S
SignaNre ot Autlitor Date�s'9r�etl�
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