Homestead_Kiesel (14). _ �.— ____
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,.:�:,�.� CLAIM FOR HOMESTEAD PROPERTY TAX
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� ��] CREDIT/STANDARD DEDUCTION
•��Y.� S�ale Form 5473 (Fi2/t-90)
'61 ` INSTRUCTIONS: See reverse side lor liling inslruclions.
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CEFtTIFICATION STATEMENT
cerlify Ihal on the isl
FOR�M YEAR
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MAY 6 1992
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I(We) occupied as our principal place ol residence Ilie followiny described real property for which a I lomeslead
�'roperty Tax Credit is hereby claimed: `�I'�We) owned ❑ �re buying under coniracl
� I lave a beneficial inleresl in Ihe enlily lliai is liable lor Ihe property laxes on lhe property and Ihal owns Ihe
property or is buying il under a conlracl.
CONTRACT RECORDED
II buying on conlrac�, Fee Simple Owner's Name
ollice where conlracl is recoided
County
PROPERTY DESCRIPTION
• Taxing,Disiricl (Cily, lown, lownship)
Parcel Number� �� I Legal Descriplio�� �� a� _ 3-, I go W��
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II any porlion of Ihe residenlial sirucWre or Ihe land nol exceeding one (1) acre Ihat irnmedialely surrounds Ihal siruc-
lu�e is used to produce income describe lhe use and porlion ol Ihe properly ulilized to produce incorne.
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PROPERTY OWNED 8Y CLAIMANT IN OTHER COUNTIES
ASSESSOR USE ONLY TfIUE TAX VALUE ASSESSED VALUE IfOMESTEAD VALUE NON-RESIOENIIAL
VALUE
Land not exceeding 1(one) acre immediately
surrounding residenlial improvemenls l � )
Olherland (2)
Tolal land - line (t) plus line (2) (3)
liesidenlial improvemenls Dweliing (4)
Garage (5)
Other improvemenls (6)
Tolal improvemenls • line (4) Ihwugh line (6) (7)
Tolal value - line (3) plus line (7) (B)
I hereby certily the above is Irue, Signature ol Assesor Dale Siyned
correcl, and complele
Verilying Action - Signalure ol Audiior Uale Signed
1989 Pay 1990
Lesser ol 1/2 Nomestead
Valuation or $2,500
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STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991
Lesserof t/2lfomeslead
Valualion or $2,000
1991 Pay 1992 19—Pay 19—
Lesser ol t/2 Flomeslead Lesser ol 1/2 Flomeslead
Vaivalion or $1,500 Valualion or $1,500
Signalure ol Auditor /� � I, �/� I �� S�9n d
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