HomeMy WebLinkAboutHomestead_Iunghuhn (6)n.
� CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
� State Fortn 5473 (R6 / 4IXi)
Prescribed by the Department of Local Govemment Finance
INSTRUCTIONS: See revcrse side Ior Iilmg mslmc(ians.
FORM
HC10
YEAR
�(We) ��� (� � �v-1W � certify Ihat on the 1st day of MarCj�,,3
I(We) occupied as our principal place o r idence fhe foilowing descnbed real pro for which a mestead Property Tac Crediiis he eby E!�
❑ I(VJe) owned ❑ Are buying under contwct // � ,
, Have a beneficial interest in ihe enfity that is liable (or ihe property taxes on the property and �hat owns lhe propertyoris-buying.url,der: �ntraU �
if 6uyirg on coniract, Fee Simple owners name
Remrdefs otfice whera coniracl
Tavnsnfp
Tating tlislrict
Rewrd number � Page
Par��l/V Z/V I�T �I.YL�� 1 / 1/ ) 3a-/-�Is�heyrope�questian: �
C�
...Ll R� D��7ertY ❑ Mobiia Hano U.C. 61.1J)
N any portion ot Ne residentlal sWdura w �he Wnd nW axceeCing me 1 j aae that immediatey wrrounds Ihat swcWra is used b produce inmme, desuibe Ue use and portbn
or me woaeM wraea m proauce irrcon,e.
��;;-�:_���''�� 3,����`.-�'.r-�?�P•,�'.,�t`'':.PROPERTY,:OWNEU';BY��CLAIMANT;INrOTHER`COUNTIESF�''_��,��'��i i��'.e`�`�.'�=�i���'�„��9-i���
County 7o.vnship Coun�y 7wvnship
I hereby cerUy the above statements are We, correct and complete. Sipnature of daimant
Addreu (num6eiandsUee(, ciry; stafe, ZlPcade)
20 _ Pay 20 _
Lesser d 1/2 Homestead
vauf6on or E35.000
$
Date si�e� �
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