Homestead_Mayer (7).•<<�•; -CLA.IM FOR HOMESTEAD PROPERTY TAX
dj. �
;:'� �� , CREDIT/STAN.DARD DEDUCTION
�• � .� State.Form 5473 (R2/1: 90)
�'°�• � INSTRUCTIONS: •See reverse side tor liling instructions. .
. . ,�,, � .. .
��'' CERTIFICATION STATEMENT
I (We) I�_j_."�(,.1� D.Y�
I ��) occupied as our pri
Pr rarty Tax Credit is he
FORM YEAR
HC10 '
. � �
��R �� � Do 7- o /�9-�
,�.;.
�'' i� certify that on the 1 st day of March , 19 �
pal piace of residence the ol ing described real property for which a Homestead
iy�claimed: �� I(We) owned ❑ Are buying under contract
i�i
� Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns lhe
property or is buying it u�n,�der a�con�tra,ct. �/ _/� _�� _�/ _�� ��9_ D�
TiID
on contract, Fee Simple
where contract.is recorded
NTRACT RECORDED
Record Number
PROPERTY DESCRIPTION
' Taxing District (City, town,
Page
Parcel Number °L'egal Description � a� _3 _�, � �,� L
� � IIn9q-OU '+i (�f� (U o.,
If any portion of the residential structure or the land noi exceeding one (1) acre that immediateiy surrounds that struc-
ture is used to produce income:d'� scribe the use and portion of the property utilized to produce income.
i
�
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township County Township
I.by certity the above statements are true, correct and
complete. �
Address (Street, number, city, siate and ZIP code)
i=t�i��
ASSESSOR USE ONLY `� w TRUE TA7( VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL �
i• VALUE
Land �oi exceeding 1(one) acre immediately
surrounding residential improvements (�)
Otherland :i, (21
Total land - line (1) plus line (2) �; (3)
Residential improvements Dwelling (4) �
Garage (5)
Oiher 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
STANDARD DEDUCTION ALLOWANCE
� 1989 Pay 1990 � 1990 Pay 1991 1991 Pay 1992 19 _ Pay 19 —
Lesser oi 1/2 Homestead Lesser oi 1/2Homestead Lesser of 1/2 Homestead - Lesser of 1/2 Homestead
Valuation or $2,500 i�:; ; �Valuation or $2,000 Valuation or $1,500 Valuation or $1,500
�!ils:
Signature ot Auditor ! j�
/l ; �i
�
Date