HomeMy WebLinkAboutHomestead_Welch (3)d�•�., CLAIM FOR HOMESTEAD PROPERTY TAX
�, -. w `, CREDIT/STANDARD DEDUCTION
' ;� State Form 5473 (R2/1-90)
�' '°,° � WSTRUCTIONS: See reverse side for filing instructions.
r CERTIFICATION STATEMENT•��
FORM
HC10
YEAR '
--D//�S�Od
I(We) ___ ��� ��(Z�`_x__� _____certify that on the 1 st day of March , 19 �
;'We) occupied as our principal place of residence the fo lowing described real property for which a Homestead
Propeity Tax Credit is hereby claimed: I(We) owned- ❑ Are buying under contract
�. 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
Recorder's d�iDce�L �re"e'antracfis recorded , - I Record Number I Page ,
�
�� `
`f a,� �,, ,} 1U pROPERTY DESCRIPTION
County �yaShi Taxing Disirict (City, town, township)
r u� r' . pOUO Legal Descr' tion ��� �_� 1'� AL P�;,,U,���a-�--�i
If any portion of ihe residential. structure or the land not exceeding one (1) acre that immediately surrounds that styiycp)
ture is used ro produce income�describe.the use and portion of the property utilized to produce income. y°
PROPERTY OWNED
- /�-/� - /40 -�� //S
ASSESSOR USE ONLY �� �� '- - TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENiIAL
� VALUE
�and.not exceeding t(one) acre immediately : '
surrounding resideniial improvements (�)
�
Otherland (2)
Total land - line (7) plus line (2) (3)
Residential.improvements _..Dwelling _. . (4)_. _ . . .
Garage (5)
Oiher improvements (6)
Total improvements - line (4) ihrough 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
sser of 1/2 Homestead
Valuation or $2,500
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991 1991 Pay 1992 19—Pay 79—
Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or $2,000 Valuation or �1,500 Valuation or $1,500
Signature of Ay�or � �.�� I Date