HomeMy WebLinkAboutHomestead_Bailey (4)C CLAIM `TR HOMESTEAD PROPERTY TAX
,e� `' ,fa'< CREDIT /STANDARD DEDUCTION
State Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for filing instructions.
rFRTIFICATInN STATEMENT
FORM YEAR
t
HC 1 I
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it
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I (We) certify that on the 1 st day of March , 19 20— I (We) occupied a our principal place of residence the f wing described real property for which a Homestead
P ty Tax Credit is hereby `.claimed: I (We) owned ❑ Are buying under contract
❑, ave a beneficial interest in the entity that is liable for the property taxes on the property and that owns the
DrO084V -.G&iS buuinctat.�under a contract.
.- &2rM w i+ MCl ^MnCrl
If buying on v � act. FepjSimple Owner's Name
Recorder's) office where contract recorded Record Number Page JAULJIIVIA
PRnPFRTY nFSrRIPTION
County To hip Taxing District (City, town, township)
Parcel Nu be r Legal Description
II 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 IN OTHER COUNTIES
County
Townshi
Count
`
��s1989 Pay 1990
er of 1/2 Homestead
(2)
1991 Pay 1992
Lesser of 1/2 Homestead
19 —Pay 19—
Lesser of 1/2 Homestead
I.hArPby certify the above statements are true, correct and
c ®ate.
rare
Aooress (Street, number, city; state and ZIP code)
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements
Other land
Total land - line (1) plus line (2)
Residential improvements Dwelling
Garage
Other improvements
Total improvements - line (4) through line (6)
Total value - line (3) plus line (7)
(1)
`
��s1989 Pay 1990
er of 1/2 Homestead
(2)
1991 Pay 1992
Lesser of 1/2 Homestead
19 —Pay 19—
Lesser of 1/2 Homestead
Valuation or $2,500
(3)
Valuation or $1,500
Valuation or $1,500
(4)
(5)
Date Si ned
Sionglwrp oI AL�Oil
(6)
(7)
(8)
I hereby certify the above is true, Signature of Assesor
correct, and complete
Verifying Action - Signature of Auditor
Date Signed
Date Signed
ernr.rnnon nCnilrTInN Al I nWANCE
`
��s1989 Pay 1990
er of 1/2 Homestead
1990 Pay 1991
` Lesser of 1/2 Homestead
1991 Pay 1992
Lesser of 1/2 Homestead
19 —Pay 19—
Lesser of 1/2 Homestead
Valuation or $2,500
I i r Valuation or $2,000
Valuation or $1,500
Valuation or $1,500
Date Si ned
Sionglwrp oI AL�Oil