HomeMy WebLinkAboutHomestead_BolinCLAIM FOR HOMESTEAD PROPERTY TAX YEAR
CREDIT /STANDARD DEDUCTION lkijpj
. State Form 5473 (19215 -92)
INSTRUCTIONS: See reverse side for Tiling instructions. FEB 1 7 1993
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I (We) IAMM+.A, 1 certify that on thAl4(etUyTdr/mH h, % 93
I (We) occupiedU our principal place of residence the following described real property for which a Homestead Property 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 under a contract-
CONTRACT RECORDED
It buying on contract, Fee Simple owner's name .
Recorder's office where contract is recorded Record number Page
" PROPERTY DESCRIPTION
County
Townsh
Taxing district (city, town, township)
Parcel number
Legal descrip ion
a
of claimant
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
o
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Township
I hereby certify the above statements are true, correct and complete.
a
of claimant
s ber d street dt state, ZIP code)
7
I/
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL.' •.
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Valuation or S2,000
_
Otherland
(2)
i7
Total land (line 1 plus line 2)
(3)
Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(6)
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19_Pay 19_
Lesser of 1l2 Homestead
S
Valuation or S2,000
Signature of Auditor
Date signed
3
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