HomeMy WebLinkAboutHomestead_Dix (3)�..� �,s CLAIM FOR HOMESTEAD PROPERTY TAX FoRM YEAR
�x �-�; CREDIT/STANDARD DEDUCTION � � Hcio -� j 9�
:' State Form 5473 (R2/1-90)
�'°'• ` INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT �D 7— ���5� :OO
I(We) 1 VD�'71)DiY�'��Q.l.l�l.(9i1V ���1�^F-certify that on the 1st day of March , 19 �
� We) occupied as our principal place of residence the following described real property for which a Homestead
Property Tax Credit is hereby claimed: � I(We) owned ❑ Are buying under contract
� Have a beneficial interest in the entity that is liable tor the property taxes on the property and that owns the
property or is buyir�g if under a contract.
4
CONTRACT RECORDED
If buying on coniract. Fee
Recorder's office where contract is recorde
PROPERTY DESCRIPTION
Record
town
Parcel Number Legal D- cripiion �
0�7- oo�s�-� '�+. N/a N�a� ao-.�- �� a.uissa�
If any poriion of the residentiai structure or the land noi 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.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
' ASSESSOR USE ONLY - TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
. VALUE
Land not exceeding t(one) acre immediately • - '
surrounding residential improvements (�)
Other land (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 ihe above is true, Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Date Signed
STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990 . 1990 Pay 1997 1991 Pay 1992 19—Pay 19—
Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 7/2 Homestead Lesser of 1/2 Homestead
Valualion or $2,500 Valuation or $2,000 Valuation or $1,500 Valuation or $7,500
Signature of ditor �t Sig�ed �O
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