Homestead_Sokelandaa -''�°, CLAIM FOR HOMESTEAD PROPERTY TAX
;��� CREDITISTANDARD DEDUCTION -
,�:, �� State Porm 5473 (R2 / SA2)
�u�
INSTRUCTIONS: See reverse side lor 7iling instructions.
FORM YEAR
� ._� �
��e) J��.�O a.. � a!! �� u.. C� a e��`��2 e v c� a. .� certity that� t _
I�� iJJe) occupied as our principa���=� I place of r idence the following described realproperty for which a Homestead Pmperty Ta � by Gaimed:
I(We) owned ❑ Are buying under contract � � .� .
Have a beneficial inierest in ihe entity ihat is liable for ihe property taxes on the property and ihat owns lhe property or is buying under a contraci.
� CONTRAC7 RECORDED . �
If buying on coniract, Fee Simple owner's name � - . � - - _ -
Recorder's ottice where wntraa is recorded Record number Page
Counry
Parcel number
Township
Legal tlescription
PROPERTV
town:
�so � c� o�-� w i r� ���� � � o-,> - � �
If any portion of the resitlential simcwre or the land not exceeding one (7) acre that immediatety surrounds that siructure is u5etl
of the pmpeny utilized to produce income. �
�- Gb�-o�OD - G�U' • l � - D�?S
L
descnbe ihe use and portion
- PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES� '
Caunty Township Couniy Township
I hereby certify the above statements are true, correct and complete. Signa�ure o� iaima �
Address (num er and sb et. cif . s!a! ZIP
ASSESSOR USE ONLY � TRUE TAl( ASSESSED HOMESTEAD NON•RESIDENTIAL
VALUE VALUE VAIUE VALUE
Land not exceeding 7(one) acre immediately . _
surrounding residential improvemenis. (�) �
Otherland (p� �
Total land (line 7 plus line7� (3)
Dwellinq (4) -
Residential improvements
Garage (5)
Other impmvements (6)
Total improvements Qine 4 through line � (7)
Total value (line 3 p�s line � (g)
I hereby certify the above is true, correct, and Signature oi Assessor Dare signed
�plete.
.�ying action - Si9nature of Audiror . Dare signed
STANDARD DEDUCTION ALLOWANCE
19_Pay19_ �
Lesser of 7/2 Homestead I
Valuatio� or S2,000 �'