Homestead_Pohl (9)_��.��;., CLAIM FOR HOMESTEAD�PROPERTY TAX _ FoRM YEAF
:�'"`= y: CREDIT/STANDARD DEDUCTION m�� Hcio
��� State Form 5473 (R2/1-90) � �� ��
'°�• INSTRUCTIONS: See reverse side for filing inst�uctions.
CERTIFICATION STATEMENT D�� ����T'Drj
I(We) – ��� I� certify that on the 1 st day of March ,� 19
,I (We) occupied as our principal place of residence the fo owing 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 buyi
Recorder's
►3i�1I�I1�
CONTRACT RECORDED
Record
PROPERTY DESCRIPTION
' Taxing>District (City, town, township)
Parcel Nu r�/�� y" oo Legal Description �' g y. ;p �. ,
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If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that struo- !
ture is used to produce income describe the use and portion of the property utilized to produce income.
. �/— i� � .� �� —�/. /iS� Q��
s
nty
PERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Township _ County - -
i
I hereby certify the above siatemenis are t�ue. correct and
Address (Street. number, city. state
ASSESSOR USE ONLY
TRUE TAX VALUE
�
Li%jocf�
NON-RESIDEN'fIAL
VALUE
Land not exceeding 1(one) acre immediately -
surrounding resideniial improvemenis (�)
Oiherland (2)
Total land - line (7) plus line (2) (3)
-Resideniial improvements - Dwelling - (4)-- - - - - - - - - - � - �
Garage (5)
Other 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
1989 Pay 1990
Lesser of 1/2 Homestead
Valuation or $2,500
STANDARD DEDUCTION ALLOWANCE
7 990 Pay 1991 1991 Pay 7 992 7 9— Pay 19 —
Lesser of 1/2 Homestead Lesser of 7/2 Homestead Lesser of 7/2 Homestead
Valuation or �2.000 Valuation or 51.500 Valuation or 57,500
of tor Date S
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