Homestead_Wilzbacher (3)..En•�. CLAIM FOR HOMESTEAD PROPERTY TAX
d�a4` CREDIT/STANDARD DEDUCTION �
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. State Form 5473 (R2/t-90) '
,' '°�• = INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMEN
.. FORM . .
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YEAR
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��(We)�-1�nJ�,Ii�"Y�SI. d� •°�i � OY A.O�� •� i��� that on the 1 st day of MarcFi , 19 Q
I(We) oc@upied as our principal place of residence the foilgwing described real property for which a Homestead
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�Property Tax Credit is hereby claimed .. , L�" 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
on contracL Fee Simple Owner's Name
office where contract is recorded
County
PROPERTY DESCRIPTION
Taxing Djstrict (City, town,
��� 1
��o � 0
Parcel Number I Legal Descript�p �/� Q� �/� /�_ �_ /D /' ,��
oo?- oi 333-0o I 1 3d) �
If any portion of the 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.
PROPERTY OWNED BY CLAIMANT
��
OTHER COUNTIES
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON•HESIDENTIAL
' VALUE
Land noi exceeding i(one) acre immediately
surrounding residential improvements (�) -
Otherland (2)
Total tand - line (1) plus line (2) (3)
Residential�improvements Dwelling (4) - - � -�
Garage (5)
Other 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
STANDARD DEDUCTION ALLOWANCE
7 989 Pay 1990 1990 Pay 7 991 1997 Pay 1992 19 — Pay 7 9_
Lesser of 1/2 Homestead Lesser of 7/2 Homestead Lesser oi 1/2 Homestead Lesser of 7/2 Homestead
Valuation or $2,500 Valuation or $2.000 Valuation or S1,500 Valuation or �7,500
Signature of Auditor
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