Homestead_Brittingham�
e��'R a CLAIM FOR HOMESTEAD PROPERTY TAX
sr�'= CREDITISTANDARD DEDUCTION
.�:;;� State Form 5473 (R2 / 5-92)
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INSTRUCTIONS: See reverse side for7iling instructions.
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4 QR� YEAR
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�l�.a'�.R. ��: 1995
"'",-'-A- 1TOR °
1(We) _. certify� that o-d1��i si day of March, 79�
I(We) occupied as our principal place of r idence ihe following described real property for which a Homestead Property Tax Credit is hereby daimed:
�I (We) owned ❑ Are buying under coniract � . .
rlave a beneficial interes� in �he entity ihai is liable for the property tazes on ihe property and that owns the property or is buying under a contract.
� CONTRACTRECORDED "
If buying on contrect, Fee Simple owner's name - � � -
Recorder's oHice where comract is recorded Recortl number Page
� � � PROPEHTY DESCRIPTION � � �
County . Township .- � Taxing disiri t( iry, mwn, fownship)
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Parcel number L tlescriptipn
�- o� ► N% % ao-3- � a6. ��'i5
If any ponion of the residential stmaure or the land not exceeding one (1) acre thai immediatety surrounds that swcture is used to produce income, describe ihe use and portion
ot the propeny utilized to produce income.
ASSESSOR USE ONLY . TRUE TAX , ASSESSED HOMESTEAD NON-RESIDENTIAL
.VALUE VALUE. VALUE VACUE -
Land not exceeding 1(one) acre immediately '
surrounding residential impmvements. (�� �
Oiherland (p)
7otal land (line 7 p/us line Z� (3)
Dwelling (4) .
Residential improvements
Garage (5) �
Oiher improvemenis (6) �
Total improvements (line 4 through lina � (7)
Tmal value (line 3 p�s line 7� �g�
I hereby certify Ihe above is Irue, correct, and Signamre of Assessor Date signed .
complete.
Verifyirg action - Signawre ot Auditor Dare signed
STANDARD DEDUCTION ALLOWANCE �
19_Pay19_
Lesser of 1/2 Homestead �
Valuation or $2,000 S
Sgnature oi Autlitor � Date sig^ed -
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