HomeMy WebLinkAboutHomestead_Rooksberry.�E°T•� CLAIM FOR HOMESTEAD PROFERTY TAX
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� ;� State Form 5473 (R2/1-90) � `
�' '°�• � INSTRUCTIONS: See reverse side (or (iling instructions.
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CERTIFICATION STATEMENT
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that on the 1 st day of March , 19 "/oZ
,(We) occupied as our principal place of residence t(ie followirf�described real property for which a Homestead
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Property Tax Credit is hereby claimed: La�� �(�Ne) owned ❑" Are buying under contract
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� 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 contract. Fee Simple Owner's Name
Recorder's office where contraci is recorded Record Number Page
County
PROPERTY DESCRIPTION
,; Taxing District (City, town,
Parcel Number "�H �f"�"T al Descnption
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If any portion of the residential structure or the land noi exceeding one (1) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
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PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township— County -
hereby certify ihe above statements are true, correci and. , n��re n � �
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ASSESSOR USE ONLY � TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land not exceeding 1(one) acre immediately
surrounding resideniial improvemenis (�)
Otherland (2)
Total land - line (1) plus line (2) (3)
-Residen[ial improvements �Dwelling - (4)� � — - -
Garage (5)
Other improvements (6)
Total improvements - line (4) through �ine (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 t/2 Homestead
Valuation or $2,500
STANDARD DEDUCTION ALLOWANCE
1990 Pay 7 991 1991 Pay 1992 19 — Pay 19 —
Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser o( 1/2 Homestead
Valuation or 52.000 Valuation or �1.500 Valuation or �7,500
Signature of Auditor �� '� \� � Date