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Homestead_Thompsond�p, CLAIM FOR HOMESTEAD PROPERTY TAX (
��-; ° CREDIT/STANDARD DEDUCTION I
;� State Form 5473 (R2/1-90)
�' '°�` � INSTRUCTIONS: See reverse side for filing instructions. �Q
CERTIFICATION STATEMENT
FORM
HC10
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I(We) �l.l..l,Cg�•�. / � certify that on the 1st c��f jvl�r�e �19
�. (We) occupied as our principal place of residence the following described real prop�rty for which a Homestead
/
Property Tax Credit is hereby claimed> �: I(We) owned LJ'�'J��d Iq���pyCbntract
IUK"
�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 contract is recorded Record Number Page :
Couniy
PROPERTY DESCRIPTION
Legal Description
If any portion of ihe residential structure or the land not 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.
-/�-��- 1eo - Gi�/. O��-C�
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Township ' County
I herPby certify the above statements are irue. correci�and I�Signatur� �� ���
com �ete. �
Address (Street. number, city, state and ZIP code) °
� ASSESSOR USE ONLY -, TRUE TAX VALUE ASSESSED VALUE , HOMESTEAD VALUE
NON-RESIDENTIAL
VALUE
land not ezceeding 1(one) acre immediately
surrounding residential improvemen[s (�)
Otherland (2)
Total land - line (7 ) plus line (2) (3)
�� Residential 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
1990 Pay 1997 I 1991 Pay 1992
Lesser of 1/2 Homestead Lesser of t/2 Homestead
Valuation or $2,000 Valuation or $7,500
19_Pay 19—
Lesser of 1/2 Homestead
Valuation or $7,500
��
Signature of Auditor Date Signed
� -- -.„ I� YYll.n ..t �-I-I� �