HomeMy WebLinkAboutHomestead_Welcha�a,t CLAIM FOR HOMESTEAD PROPERTY TAX
3`��y ° CREDIT/STANDARD DEDUCTION ��� �
`+��' State Form 5473 (R2/1-90) - �
'°�• INSTRUCTIONS: See reverse.side (or liling instructions.
CERTIFICATION STATEMENT L
�
FORM
HC10
9
� ��70 7 4 ?
I(We) �1 ,G�1 n,� �I,c�D't_ , o__� A) � S�_,C� � certify that on the 1 sf day of March , 19 �
II (We) occupied as our principal place of residence the fol owing described real property for which a Homestead
Propert � Tax C i" ereby claimed: I(We) owned :❑ Are buying under contract
��a b l erest in the entity that is liable�for the property taxes on the property and that owns the
r ying it under'a contract.
N�V 5
CONTRACT RECORDED
PROPERTY DESCRIPTION
,
PROPERTY OWNED BY
Town�
I hereby certity the above statemenis are true. correct and
Address (Streei, number, city, state and
IN OTHER COUNTIES
County � I Township -
�� -,�-�
_ i �;.�
ASSESSOR USE ONLY .•" TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
' ` VALUE
Land not ezceeding 1(one) acre immediately � -
surrounding residential improvements (�) �
Otherland (2)
Total land - line (7 ) plus line (2) (3)
Residential improvements Dwelling (4) -
Garage (5)
Other improvemenis (6)
Total improvements - line (4) through line (6) (7)
Total value - Iine (3) plus line (7) (8)
I hereby certify the above is true, Signature of Assesor Date Signed
co;rect, 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 7991 1991 Pay 7992
Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or $2.000 Valuation or �1,500
19—Pay 19—
Lesser of 7/2 Homestead
Valuation or $1,500
Auditor Date Signed