Homestead_Graperd�p•4 CLAIM FOR HOMESTEi4D PROPER��
�;� y : "CREDIT/STANDARD DEDUCTION
:� State Form 5473 (R2/t-90) '
�' �°�• ` INSTRUCTIONS S e reverse side (or lilin instructions
F
HC10
e g . �y /� /y
CERTIFICATION STATEMENT �O /�D/�`9/�GY D
I(We) _��%v�X�._R certify that on tlie 1st day of March , 19�
,We) occupied as our principal place of resi ence t,_h,e., %fo lowing described real property for which a Homestead
Property Tax Credit is hereby claimed: LJ' I(We)�owned '❑ Are 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.
- �G -/ .9-�/-/�o-�/. �9� ���
Ii buying on contract.
contractisrecorded
CONTRACT R
PROPERTY
- �'r -. -
Record Number .
town,
Parcel � mb�� ,� � 1�9� Legal' Description �L (� I' � n� I� r��� ))-3-1 c� 57.���
�n % – /(o"F'f Oa L
If any portion of ihe residential structure or the land not exceeding one O acre that.immediately surrounds that struc-
ture is u���tJ}� �(�E�scribe the use and portion of lhe property utilized to Produce income.
. AUDI70R _ .
PROPERTY OWNED BY CCAIMANT IN OTHER
Township County ..
cenify the above statements are true, correct and
Address (Street, number, city, siate
ASSESSOR USE ONLY � TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE
NON-RESIDENTIAL
VALUE
Landnotexceeding 1 (one)acreimmediately � �
surrounding resideniial improvements (�)
Otherland (2)
Total land - line (7 ) plus line (2) (3)
Residential improvemeNS _ . 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
1989 Pay 1990
Lesser of 1/2 Homestead
Valuation or $2,500
STANDARD DEDUCTION ALLOWANCE
1990 Pay 7 991
Lesser oi 7/2 Homestead
Valuation or $2,000
1991 Pay 1992 19 — Pay 19 —
Lesser of 7/2 Homestead Lesser of t/2 Homestead
Vatuation or �1,500 Valuation or 51,500
Signature of Auditor_ � . _ Date