Homestead_Laymond�•�., CLAIM FOR HOMESTEAD PROPERTY TAX FoRM YEAR
� � ° CREDIT/STANDARD DEDUCTION ,��� r+c�o
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:� State Form 5473 (R2/1-90) . � �
�'°�• � INSTRUCTIONS: See reverse side for filinginstructions. /
� �.f�' CERTIFICATION STATEMENT DD ���'��r �
�I (We • Y��. G�,��.e�rtify that on the tst day of March , 19
� I(We) occupied as our principal place of residence theYoll escribed real property for which a Homestead
Property Tax Credit is hereby ciaimed: I(We) owned ❑ Are buying under contract
Have a beneficial interest in the entity that is liable for the property taxes o��r� t owns the
�� property or is buqing it under a contract.
CONTRACT RECORDED
If buying on contract. Fee Simple Owner's Name
Recorder's office where contract
PROPERTY DESCRIPTION
Township
. !A�d � -
ity,
�� l- �QS� ' CX� � l�'i� • 1a7 (w%. % 7 ��� � J U Q� •
If any portion of the residential structure or the land not exceeding one (7 ) acre thai immediately surrounds that struc-
ture is used to produce income describe the use and portion of ihe property utilized to produce income.
�� -/9-i q- ��a - ��. s9�- a�s .
. ,
PROPERTY OWNED BY.CLAIMANT IN OTHER COUNTIES
Countv •
the above statements are irue. correct and�-�� �
;(Street, number. city, state and ZIP code) '
e ' C�-d '�.�: � �� �_'-t -1
ASSESSOR USE ONLY THUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE
NON-RESIDENTIAL
VALUE
Land not exceeding i(one) acre immediately
surrounding residential improvements (�)
Oiher land (2) ' '
Total land - line (1) 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 the above is true, Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Date Signed
1989 Pay 1990
Lesser of 7/2 Homestead
Valuation or $2,500
�
�ign re of Auditor
� _ ,.
STANDARD DEDUCTION ALLOWANCE
7990 Pay 1997
Lesser of 7/2 Homestead
Valuation or $2,000
1991 Pay 1992 19—Pay 79_
lesser of i/2 Homestead Lesser of 1/2 Homestead
Valuation or �1,500 Valuation or 51,500
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