Homestead_Bridgese%��R -
°s. CLAIM FOR HOMESTEAD PROPERTY TAX
a��'= CREDIT/STANDARD DEDUCTION
�; ,� State Form 5473 (R2 / 5-92)
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INSTRUCTIONS: See reveise side !or liling inshuctions.
- _ � . . .. . . .. - �CERTIFICATIO�
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� � e) � �1.(„�!� � . _ GC'�T'�ay'�iTC7P_.* 19
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) occupied as our principal place of resi ce the foilowing described reai property for which a Homestea Property Tax Credit is hereby claimed:
❑ i(We) owned ❑ Are buying under contraci . . _
❑ Have a beneficial inieresi in the eniity that is liable for the property taxes on the property and that owns the property or is buying under a contraci.
�• . � . CONTRACTRECORDED . "
It buying on contran, Fee Simple owner's name • . '
Recorder's oflice where comract is recorded pecord number Page
` � PROPERTY DESCHIPTION �
Counry Township � � Tauing distritt (Crty.�rown, fown5hip)
Parcel number Legal tlescnption
- C�o -oo �� SsL. a- 3— �.
It any ponion of ihe resitlential svuciure or the land not exceeding one (1 � aae ihat immediarely surwunds that strucWre is used to
of ihe property utilized to produce income. ,
income. descrihe Ne use antl portion
I _ ,�Y - �� �a- ��-a�d.��� a�s I
ASSESSOR USE ONLY
Land not exceeding 1(one) aae immediately
surrounding residential improvemenis.
Otherland
Total land (line 1 plus line Z�
Dwelling
Fiesiden�ial improvements
Garage
Other improvements
Total improvemenis (line 4 through line �
Total value (line 3 p�s line 7�
I hereby certify the above is tme, correci, and
complete. �
�79_Pay19_
;ser ot 1/2 Homestead
Valuation or S2.000
r)
(2)
(3)
(4)
(5)
(6)
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TRUE TA7C ( ASSESSED I HOMESTEAD
VALUE VALUE VALUE
otASSessor
STANDARD DEDUCTION ALIOWANCE
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NON-RESIDENTIAL -
VALUE
Date signetl
Date signed
Date signetl I
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