HomeMy WebLinkAboutHomestead_Ziliak (7)�-�"�
, -
I- f� �. CLAIM FOR HOMESTEAD PROFERTY TAX
d�A 4' CREDIT/STANDARD DEDUCTION
_ �:"; ; ";
State Form 5473 (R2/1-90) �
�' '°�° `� INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT
_ FORM .
HC10
e
�.
�
\.
YEAR
�.
I(We) � U I��l�(/Y�-� plNvw _��ertif at on the 1st day of March , 19 �
�JVe) o cupied as our principal place of residenc the fo g described real property for which a Homestead
Property Tax Credit is hereby claimed: . I(We) owned ❑ g ontract
� Have a beneficial interesl in the entity that is liable for the property taxes on the�p�rt�ja �at � ns the
property or is buying it under a contract.
If buying on contract.
County
where coniract is recorded
Legal
CONTRACT RECORDED
L
Record Number
3-3-�(
Page
If any_portion of ihe resiiiential siructure 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.
� � �G_/9�s =�a�-6m. 9.�a -a��
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
certify the above siatements are true. correct and Si n tur
�'� e,�;w, 'Y1 Z �
s(Street. number. city, state and ZIP code) -
-' ljok[06 ��r-f' (3v�c�v�ch .Iv�. �i�7G ��
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE
NON-RESIDENTIAL
VALUE
Land not exceeding �(one) acre immediately
surrounding residential improvemenis (�)
Otherland (2)
Total land - line (7) plus line (2) (3) -
Resideniial improvements � Dwelling (4) � � � -
Garage (5)
Oiher improvemenis (6)
Total improvements - 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
STANDARD DEDUCTION ALLOWANCE
�1989 Pay 1990 1990 Pay 7991 1991 Pay 7992 19-Pay'19—
sser of 7/2 Homestead Lesser of 7/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or $2,500 Valuation or $2,000 Valuation or S1.500 Valuation or 37 ,500
Auditor