HomeMy WebLinkAboutHomestead_MalloryCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Steta Fam 5073 (R6 / 4-03)
Resa�ed by tlro DepaMimrt d local Govemment Finafxe
INS7RUCT10NS: See raverse tids 1b Rip im6uctip�s.
FORM
HC10
� �
� � YEAR
�
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� l'^'el w�+ - certify lhat on the 1 st day of March, 20_
1(We) occupied as our principal place of residence fhe (ollowing descnbed real property for whi Homestead Property T�istih€ __y daimed:
❑ I(We)owned ❑ Arebuyingundercontrad G�g50NCOl'::T'���ITOR
' Have a benefidal interest in the entiry that is liable for the properry taxes on the property and that owns the property or is buying under a wnVact.
If buying on conirad. Fee Simple owners name
Remrdefs ofiice where contract is remrded
Counry
u any
of the
County
ol
Tamship
W I \ rj �'t. .rOl �
sWdure w Ne land nW excceding me (1) ace
ice inWme.
Twvnship
I hereby certify the above statements are We, corred and complete.
(numberand sLeet, ciry, sfate, ZlPcode)
I Record number I Page
tIPT10N??.�e^�a's.�clz� �-�`.'-%qa'� ..�r„s-..'��`=fP�"�- �,.�'. .s'�
� district (ciry, fown, township)
� e pmperty in quesfion:
� ❑ Real ro
p perty ❑ MoCileHOmoQC &f 1-7)
wrrounds that swcwre Ls used b produce income, describa Ne use antl ponion
-�-�' z "�` � '�"�a�����'�i��'�`-.,"STANUARD;DEDUCTION'ALLOWANCE�.:�.�,�;''H'�.�".�;"�,�'z.'�'�'�`�'�`��'X`"��t=
ir_ ..�-o-xF°��s� �" "-�i x,e.
20_Pay20_
Lesser of tY2 Homestead
vaueuan or 535.000
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SgnawraotlwQt« " Datasigned