Homestead_Nelson.�•°�TM CLAIM FOR HOMESTEAD PROP
- e/-�'. '
��-, ` CREDIT/STANDARD DEDUCTION
.� State Form 5473 (R2/1-90)
�' '°�• � INSTRUCTIONS: See reverse side for liling instructions.
� CERTIFICATION STATEMENT
FORM
HC10
YEAR
p07- mdC.Z �-�
I(We) �/„v� %�'Z� �-,L/�o_�� /C�ftiTy�rrat on the tst day of March , 19
`� (We) occupied as our principal place of residence the following described real property for which a Homestead
Property Tax Credit is hereby claimed: . �e) 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.
CONTRACT RECORDED
If buying on contracl. Fee Simple Owner's Name
Recorder's office.where contraci is recorded Record Number Page
PROPERTY DESCRIPTION
County
town, township)
% � �(/ " - / " � / / U
If any portion of ihe resideniial structure or ihe land not exceeding one (1) acre that immed
ture is used to produce income describe ihe use and portion of the property utilized to produce income.
�G-/9-o3o-/ao -�. �a�-oas Au� °3 i��yo
. � _
PROPERTY OWNED BY CLAIMANT IN OTHER
Township
hereby certify the above statements are irue, correct and
Addr ss (Sireet. number, city. state
,/� / /�jnx 3�22 Ft.G�
ASSESSOR USE ONLY
County
�/ 7r yP
struc-'
TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
� vnwe
Land noi ezceeding 1(one) acre immediately
surrounding residential improvemenis (�)
Oiherland (2)
Total land - line (�) plus line (2) (3)
Residentialimprovemen[s Dwelling j4) � -- � - �- - � � - -
Garage (5)
Other improvements (6)
Total improvements - line (4) through line (6) (7)
Total va�ue - 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
7989 Pay 1990
Lesser of 1/2 Homestead
Valuation or $2,500
Auditor
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1997 1991 Pay 1992
Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or $2.000 Valuation or 57,500
19—Pay 79_
Lesser of 7/2 Homestead
Valuatiornor:51,500