HomeMy WebLinkAboutHomestead_Cuetoa
.��^��• `CLAIM FOR HOMESTEAD PROPERTY TAX ,
d saa .
�: -. � ; CREDIT/STANDARD DEDUCTION " �
.� State Form 5473 (R2/1-90) -
�'°�• � INSTRUCTIONS: See reverse side for liling instructions.
CERTIFICATION STATEMENT �
FORM YEAR '
HC10 �jQ
�
I(We) �(R�x.cv a � �,{�0 � certify that on the 1st day of March , 19 �
AWe) occupied as our prin al place of residence the following described real property for which a Homestead
Nroperty Tax Credit is hereby claimed: ' • {�( (We) owned � AYe buying under contract
�Have a beneficial interest in the entity that is liable for the propertytaxes on the property and that owns the
property or is buying it under a contract. . . -•,
buying on contract, Fee Simple
Recorder's office where contraci
CO
Name
PROPERTY
RECORDED
ESCRIPTION
Taxing pjstrict (Cit�
a
town, township)
rail.W�1'UCW 1 1� I �cyai�vc�i,ii_QM/w.E' (J�.NTiK+ � �`^ I �� fJ �/1
\ �
If any portion of ihe residential siructur or the nd not xceeding one (t ) acre that immediat s �i
ture is used to produce income describe the use and portion of the property utilized to produce income.
JUN 1 �: 1990
� ��-�,P;a�/o/-6aa.9��-��s �
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTI�`bstn
County Township , County . - Tov
_�- .
Ihereby�certify the above statements�are true. correct and � Sign ur � �
complete. - � � -
Address (Street, number. city, state and ZIP code) - -� '
� � ASSESSOR�USE ONLY - ' TRUE TAX VALUE � ASSESSED VALUE HOMESTEAD VALUE
NON-RESIDENTIAL
VALUE
land not exceeding 1(one) acre immediately '.
surrounding residential improvements i�)
Other land (2)
Total land - line (1) 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
STANDARD DEDUCTION ALLOWANCE
1989 Pay 7 990 1990 Pay 1991 7 991 Pay 1992 19 — Pay 19 _
Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or �2,500 Valuation or �u2.000 Valuation or �1,500 Valuation or �1,500
�— I
Signature of Audi� p
.�
-�b