Homestead_Rhineforta�"� i CLAIM FOR HOMESTEAD PROPERTY TAX
i��g CREDIT/STANDARD.DEDUCTION :
�.�, • Sta;e Form 5473 (R2 / 5-92) .
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INSTRUCTIONS: See reverse side lor fil'mg inshuctions.
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YEAR
I(We) � • �`"� � ' ti[/X.-Y- � certify ihai on ihe 1st day of March, 19_
�) occupied as our principal place of residence the following described real pr rty for whicha Homestead Property Tau Credit is hereby daimed:
LJ I(We) owned ❑ Are buying under contraci . _ , ..
❑ Have a beneficial interest in the entity that is liable for the property taues on the properiy and that owns the pmperty or is buying undera contract.
� � � � �� CONTRACT RECORDED , � ' . � �
11 buying�on contract Fee Simple owner's name � � . • .
Recorder's oHice where mntract is recorded . Record number Page
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If any portion of the
ol the omceM u:ili:
Caunty
PROPERTY
Township
Tazing
v ir-
/ Legal descript n . � . �—�! /Q. /. � �� �
�/ 7
simcwre or the land no� exceetlinq one (7 � aae that immediatey surrounds that structure is used to produce inwme, describe the use and ponion
ice income.
� i �
PROPERTY
Township
certify the above statements are true, correci and complete.
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BY CLAIMANT IN OTHER COUMIES
Caunry
Sgnature
ASSESSOR USE ONLY � � TRUE TAX � ASSESSED HOMESTEAD NON-RESIDENTIAL
- � � VAWE VALUE� VALUE VALUE
Land not exceeding 1(one) acre immediately �
surrounding residential improvemenis. (�)
Oiherland (p)
Total land (line 1 plus line 2� (3)
Dwelling (4)
Residential improvements
Garage (g) ' �
Other improvements (6)
Total improvements (line 4 fhrough line � (7)
Total value (line 3 pUs line � (g)
I hereby certify ihe above is �rue. Correct, and Signature ot Assessor Date signetl
complete.
�tying action - Signamre oi Autlitor � Date signed
l
STANDARD DEDUCTION ALLOWANCE -
79_Pay79_ .
Lesser of 1/2 Homestead �
Valuation or $2,000 �
Signalure of Auditor � Dare signed