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.�•n•�•, CLAIM FOR HOMESTEAD PROPERTY TAX
e�`" y : CREDIT/STANDARD DEDUCTION
� � State Form 5473 (R2/1-90) �
�' '°,° �� INSTRUCTIONS: See reverse side �or liling instructions.
CERTIFICATION STATEMENT
FORM
HC10
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I(We • - ertify that on tYie 1st day of March , 19
p(We) occupie as ou'Jr principal place residence the follow escribed real property �� ���ad
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Property Tax Credit is hereby claimed: I(We) owned ❑ Are u�yi nder'son : ct
US ��u�
� 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. MAY 1 0 1991
CONTRACT RECORDED
If buying on contracl. Fee Simple Owner's Name
Recorder's office where contract is recorc
Cou ' n _� _ Township
Legal
PROPERTY DESCRIPTION
Taxinq/b�$tric
town, township)
ITOR
Ii any portion of the residential structure or ihe land'not exceeding one (1) acre that immediately surrounds that struc-
ture is used to produce income describe ihe use and portion of the property utilized to produce income.
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I hereby certify the above statements are irue. correct and
and
IN OTHER COUNTIES
ASSESSOR USE ONLV TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land not exceeding �(one) acre immediately
surrounding residential improvements (�)
Otherland (2)
Total land - line (t ) plus line (2) (3)
Resideniial improvements Dwefling - (4) - - - -
Garage (5)
Other improvements (6) -
Total improvements - line (a) through line (6) (7)
Tolal 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 7990
Lesser of 1/2 Homestead
Valuation or $2.500
of Auditor
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991 1997 Pay 1992 7 9— 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 �7,500