Homestead_Gentryd�p, CLAIM FOR HOMESTEAD PROPERTY TAX
�t� �� ^ CREDIT/STANDARD DEDUCTION
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' State Form 5473 (R2/1-90) �
�' '°�° �� INSTRUCTIONS: See reverse side lor filing instructions.
CERTIFICATION STATEMENT
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AP,R 1 � 19°2
I(We) __�/�, r1 , `• certi that on the t st d y�-'of �jj�?1T��G%2.
i(We) occupied as our principal pla e of residence t�he,�following described_real property forwhich a Homestead
Property Tax Credit is hereby claimed: L1�1 (We) owned ❑ Are buying under contract
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�Have a beneficial interest in the entity ihat is liable for the property taxes on the property and that owns the
property or is buying it under a contract:
CONTRACT RECORDED
If buying on contracL Fee Simple Owner's Name
Recorder's oifice where contract is recorded Record Number Page
PROPERTY DESCRIPTION
Taxing District (City, town, township)
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If any portion of the residential structure or the land not 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.
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PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County I Tow^s�iip
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I hereby certify ihe above statements are irue. correct and �
state and ZIP code)
ASSESSOR USE ONLY TRUE TAX VAI.UE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
� VALUE
Land noi exceeding 1(one) acre immediately '
surrounding residential improvements (�)
Otherland (2)
Total land - line (1) plus line (2). (3)
Resideniial�.improvements Dwelling (4) � - � � - - -
Garage (5)
Other improvements (6)
Total improvements - 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
Signature of Auditor
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991 7991 Pay 1992 79—Pay 19—
Lesser of 1/2 Homestead �esser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or $2.000 Valuation or 51,500 Valuation or 57,500