Homestead_Pohl (11)dM�;;.q CLAIM FOR HOMESTEAD RROPERTY TAX FoRM YEAR
�;'"` y: CREDIT/STANDARD DEDUCTION Hcio �qq �
�±�� State Form 5473 (R2/1-90) �� �
'°�: � INSTRUCTIONS' See reverse side lor lilin instructions
I (We)
9 � �% �DC-od
' CERTIFICATION STATEMENlY D, D�
that on the 1 st day of March , 19 �
II (We) occupied as our principal place of residence t,,h_e,(following described real property for which a Homestead
Property Tax Credit is hereby.claimed: . • fYl I(We) owned ❑�Are buying under coniract
7�
� Have a beneficial interest in the entity that is liable for the property taxes on the pr t at o�the
property or is buying it under a contract.
If buying on contract. Fee
Legal
CONTRACT RECORDED
s
PROPERTY DESCRIPTION
_ _ � Taxina Distric
a�-�-
town, township)
,..
If any portion of the residential structure or the'land not exceeding one (1) acre that immediately surrounds that siruc-
ture is used to produce income describe ihe use�and portion of the property utilized to produce income.
. c��-/�-.�3 - �ao - �a/. �d� -D�S
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Township County
_�—
I hereby certify. the above siatements are t
plete.
�d ss (Street. number, city, state ar
�/ 6 -7-
ASSESSOR USE ONLV
correct and ,
TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE
NON-RESIDENTIAL
VALUE
Land not exceeding 7(one) acre immediately �
surrounding residential improvements (� 1
Otherland (2)
Total land - line (7) plus line (2) (3)
Residential improvements - Dwelling � (4) - - � � - - -
Garage (5)
Other improvements (6)
Total improvements - line (4) through line (6) (7)
Total va�ue - line (3) plus tine (7) (8)
I hereby certify the above is true, Signature of Assesor Date Signed
co;rect, and complete
Verifying Action - Signature of Auditor Date Signed
7 989 Pay 1990
Lesser of 1/2 Homestead
Valuation or $2,500
Signature of Auditor
STANDARD DEDUCTION ALLOWANCE
1990 Pay 7 991 1991 Pay 1992 7 9_ Pay 19 —
Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or $2.000 Valuation or $7,500 Valuation or �1,500