Homestead_Martin� \�� _ ��
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.�••••�• CLAIM FOR HOMESTEAD PROPERTY TAX
(;�A 4'
. . . y : CREDIT/STANDARD DEDUCTION
:� State Form 5473 (R2/1-90)
�' '°�° � INSTRUCTIONS: See reverse side_fo� filing instructions.
CERTIFICATION STATEMENT
R
YEAR
N Hc,o C�
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I(We) � �certify�that on the 1 sf day of March , 19 �
h(We) occupied as our principal place of residence the f lowing 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 property and that owns the
property or is buying it under a contract.
If buying on contract. Fee Simpl�
Recorder's office where coniract
nty '
•el Number
%_ no�L,SI-
RECORDED
Record
PROPERTY DESCRIPTION •
Township TaXing Districi(City, town, township)
Iln. ,
Legal Description
� �v
If any portion of the residential structure orthe 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.
i�voo-�so3o ��-/90?�-��-oao:�sia�-��`3 18yo0,-'3
. PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES a 5Q0 M� FI
County Township County Township
1 hereby_certify ihe aboye statemen[s are true.�correci and'. Signaturel �_' fl n�_ .�r ,.. .-
>(Street, number, city, state and ZIP code) ,/ X �� #�' Qt�
V�
ASSESSOR USE ONLY � TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE
NON-RESIDENTIAL
VALUE
Land not exceeding 1(one) acre immediately ' ' �
surrounding residential improvemenis (�1
Otherland (2)
Total tand - line (1) plus line (2) (3)
Residential impwvements - Dwelling -- (4) � � - � � � - -- - � - -
Garage (5)
Other improvements (6)
Tolal 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 1991
Lesser of 1/2 Homestead
Valuation or $2,000
�-----
7997 Pay 1992 19—Pay 19_
Lesser of 7/2 Homestead Lesser of 1/2 Homestead
Valuation or 51.500 Valuation or S7,500
Signature of Auditor ,(� �/1,� Date Si ne
i� iln �n D� I.� � I 6 LL2N� � i— �—