2004 Homestead Exemption Calculation Form
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12004 HOMESTEAD EXEMPTION CALCULATION FORM
CERTIFIED RATIO: [___________%]
HOMESTEADS WITH A JUST VALUE OF LESS THAN $125,000
1.
$125,000 X [________%]
= $______________________
(CERTIFIED RATIO)
(ADJUSTED HOMESTEAD VALUE)
(Example $125,000 x
80%
= $100,000)
2.
$7,000 X [________%]
= $______________________
(CERTIFIED RATIO)
(ADJUSTED HOMESTEAD EXEMPTION)
(Example $7,000 x
80%
= $5,600)
3. Number of Homesteads with an Assessed Value Less Than
$________________ = #_______________
(Total from line 1 above)
4. TOTAL ESTIMATED EXEMPT VALUE: $_____________ X #_________________ = [$______________]
(Total from line 2 above)
(Total from line 3 above)
HOMESTEADS WITH A JUST VALUE OF AT LEAST $125,000 BUT LESS THAN $250,000
5.
$250,000 X [________%]
= $______________________
(CERTIFIED RATIO)
(ADJUSTED HOMESTEAD VALUE)
(Example $250,000 x
80%
= $200,000)
6.
$5,000 X [_______%]
= $______________________
(CERTIFIED RATIO)
(ADJUSTED HOMESTEAD EXEMPTION)
(Example
$5,000 x
80%
= $4,000)
7. Number of Homesteads with an Assessed Value of At Least
$________________ but Less Than $_________________ = #________________________
(Total from line 1 above)
(Total from line 5 above)
8. TOTAL ESTIMATED EXEMPT VALUE: $_____________ X #_________________ = [$______________]
(Total from line 6 above)
(Total from line 7 above)
HOMESTEADS WITH A JUST VALUE OF AT LEAST $250,000
9.
$2,500 X [________%]
= $______________________
(CERTIFIED RATIO)
(ADJUSTED HOMESTEAD EXEMPTION)
(Example
$2,500 x
80%
= $2,000)
10. Number of Homesteads with an Assessed Value of At Least
$_______________ = #________________
(Total from line 5 above)
11. TOTAL ESTIMATED EXEMPT VALUE: $_____________ X #_________________ = [$_____________]
(Total from line 9 above)
(Total from line 10 above)
.
= #_______________
12
TOTAL NUMBER OF HOMESTEAD EXEMPTIONS GRANTED (SUM OF LINES 3, 7, 10)
(Also enter on page 1 Sec. B line 1)
13. TOTAL AMOUNT OF 2004 HOMESTEAD EXEMPT VALUE (SUM OF LINES 4, 8, 11)
= $_________________
(Also enter on page 1 Sec. B Line 3)
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