HomeMy WebLinkAboutHomestead_Smith (7)a��' �'� a CLAIM FOR HOMESTEAD. PROPERTY TAX '
_��: CREDIT/STANDARD DEDUCTION '
, ,�y ,; � State Form 5473 (R2 / 5-92)
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INSTRUCTIONS: See reve�se side Io� filing instructions.
STATEMENT
FORM YEAR
HC10
, �. �
I(We) �' ce ihai on the�1 st�7s(y of M
��) occupied as our pri i al place of residence the following described real property for which a Homest d Prope _ �z �24ihig aimed:
GD:..::.. . � :� d7�—
,J 1(We) owned Are buying under comract � � /�cr• �-�.
❑ Have a beneticial inierest in ihe entiry ihat is liable for the property tazes on ihe property and that owns the property or is buying under a contract.
Townsttip
Legaldes
PROPERTY DESCRIPTION
Tating dis[ric� (
- 3 -/a /-5
It any portion of the residen6al strucWre or the land not exceedinq one (7) acre that immediatety surrounds that sWCWre is used to produce i�ome, descnbe ihe use and poNOn
of 1he property utilized to produce income.
Q�CO — Q�S
- ASSESSOR USE ONLY �- TRUE TAR ASSESSED HOMESTEAD NON-RESIDENTIAL
VAWE VALUE� VALUE � ` VALUE ,
Land not exceeding 1(one) acre immediately
surrounding residential improvements. (�)
Other land (2) -
Total land Qine 1 plus line 2� . (3J
Dwelling (4) �
Residential improvements � .
Garage (5) �,
Olher improvemenis (6)
Total improvements (line 4 thiough lina � (7)
Total value (line 3 p�s line � (g)
I hereby Certify the above i5lrue. Correct, and Signature of Assessor Dare signed
complete.
Veriryirg action - Signature ot Audimr Date signetl
� � � STANDARD DEDUCTION ALIOWANCE �
79_Pay19_
Lesser of 1/2 Homestead
Valuation or 52,000 S
i
Signat i:or Date signed