Homestead_Hasenour (7)�.��n•h, CLAIM FOR HOMESTEAD _ FoRM YEAR
d -'-. D
�. � - � � CREDIT/STANDARD DEDUCTION Hc�o-
.� State Form 5473 (R2/t-90) • �
�� '°�• � INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATIO STATEMENTOD� Q�,��p � `�Z�
I(We) _ '� _ _ i y hat on the 1st day of March , 19 �
tWe occupied as our principal place of residence the following described real property for which a Homestead
Property Tax Credit is hereby claimed' " (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. . . . t ���, ��
CONTRACT RECORDED –"=��
If buying on contract. Fee Simple Owner's Name �/� ,� 1�/ ��� _��o 1/(� vm��o
OSd �tlo
Recorder's office where contraci is recorded • Reco� Number Page
�r�x.� f� v1. _
PROPERTY DESCRIF
Taxing
,P,a;�e um e,� � Legal s ri tion � ( � � � l � _ /i / � n y���
U U y�
f any portion of the residential structure or the land not exceeding one (t ) 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
' ASSESSOH USE ONLY -- ��� TRUE TAX VALUE � ASSESSED VALUE HOMESTEAD VALUE NON•RESIDENTIAL �
VALUE
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)
Oiher 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 7990
Lesser of 7/2 Homestead
Valuation or $2,500
Signature
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991 1991 Pay 1992 19 — Pay 19 —
Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or $2,000 Valuation or 51,500 Valuation or 51,500