Homestead_Kruse (5)d..�; 4 CLAIM FOR HO ROPERTY TAX FoRM- veaR
::� y ; CREDIT/STANDARD DEDUCTION � Hc�o - �G�L��
`?��' State Form 5473 (R2/1-90) � �
'°�• INSTRUCTIONS: See reverse side lor �iling instructions.
CERTIFICATION STATEMENT 40 " _� �� D�
I(We) �� _ certifythat on the tst day of March , 19 •�
i(We) occupied as our rincipal place of residence the following described real property for which a Homestead
Property Tax Credit is hereby claimed: � I(We) owned ❑ Are buying under contract
� Have a beneficial interest in the entity that is liable for the property taxes on the propert -t
property or is buying it under a contract. ���� �
on contract.
office where contract is recorded
Counry
J Number
- r�n�
CONTRACT RECORDED
ame •
PROPERTY DESCRIPTION
Taxi�g Distric
��i
�ti�on CF IS— �J-10
Record
town, township)
If any portion oi 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 p�o�rtion of the property utilized to produce income.
�/_ _ /9_/ -s-�`aa -��D. S7� - �01.�
PROPERTY OWNED BY CCAIMANT IN OTHER COUNTIES
`� Township County Township
ceriify the above statements are vue, correct and
Address (Sireei, n mber, city, state and
ne. �z-� Dox �o
- . ,
� � ASSESSOR USE ONLY � � •
�
TRUE TAX VALUE�'� ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
' VALUE
�and not exceetling 7(one) acre immediately �
surrounding residential improvements (�)
Otherland (2)
Total land -- line (t ) plus line (2) (3)
Residential improvemenis. _ Dwelling _ (4) _ . . . .
Garage (5)
Other improvements (6) '
Total improvemenis - line (4) through line (6) (7)
Total value - line (3) plus line (.7) (8)
I hereby certify ihe 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 o( Auditor
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1997 1997 Pay 1992 79—Pay 19—
Lesser of 1/2 Homestead Lesser of 7/2 Homestead Lesser of 1/2 Homestead
Valuation or $2,000 Valuation or $1,500 Valuation or $1,500
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