HomeMy WebLinkAboutHomestead_Fullerton<.Fn F, CLAIM FOR HOMESTEAD PROPERTY�7AX p FORM YEAR
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�� , . CREDIT/STANDARD DEDUCTION lf`s�Q Hcio
: State Form 5473 (R2/1-90) � � � 0� �`
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INSTRUCTIONS: See reverse side for filing inst�uctions.
CERTIFICATION STATEMENT - D� ���/��+ � — ��
'I (We) � V• ��XX9.U�-� certify that on the 1 st day of March , 19 g�
I(We) occupied as our principal place of residence the following described real property for which a Homestead
Property Tax Credit is hereby claimed: � �(We) owned re buying under contract
�Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the
property or is buying it under a contract.
NTwerT FrnwnFn� .
d
on
where contract is recorded /''
County --.
PROPERTY DESCRIPTION
.. . . T�..�,,., n;��.�.
Record
town,
Parcel Number Legal Description
e�o—,-�ic�BS � - �'- �� q- 3-l0
If any portion of the resideniial siructure or the land not exceeding one (1) acre that immedia
ture is used to produce income describe the use and portion of the property utilized toprodw
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mship) �
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• � PROPERTY OWNEU BY CLAIMANT IN OTHER-COUNTIES
,County Township _ . County , • . .-_ . Tov�
I hereby certify the above statemenis are�true. correct and .�� Signa r n q,� �
comple[e. ' - .rj� V
Addres (Street. num r, cdy. tate and ZIP code)
�.�� x �6 �Y. �a„�ti; IN. �f7b�f8
ASSESSOR USE ONLY .,_TRUE TAX.VALUE , ASSESSED VALUE HOMESTEAD VALUE
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NON-RESIDENTIAL
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Land not exceeding 7(one) acre immediately '�-
surrounding residential improvements (�)
Otherland (2)
Total land - line (7) plus line (2) (3)
�Residential improvements - Dwelling � (4) � � - • - - - � - - � �- - -
Garage (5)
Other improvemenis (6)
Total improvemenis - line (4) ihrough 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
- 1989 Pay 1990
Lesser of 1/2 Homestead
Valuation or $2,500
STANDARD DEDUCTION ALLOWANCE
7990 Pay 1991 1991 Pay 7992 19—Pay 19—
Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or $2.000 Valuation or $1,500 Valuation or �1,500
Signature of Auditor /� � ^ n I Date
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