HomeMy WebLinkAboutHomestead_Moseley� CLAIM FOR HOMESTEAD P.ROPERTY TAX
CREDIT/STANDARD DEDUCTION
t Stata Fwm 5473 (R6I4-03)
' Prescribed by Ne DepartmeM of Locel Govamment Finance
� INSTRUCTIONSi See revarse side for filing instiuctions. _
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FORM YEAR
HC10
I(We) \ certify that on t�e,�t Q9y pf���, 20
I(We) occupied es our pri al place of residen e the f Ilowing des ribed real prope which a Homestead Property �c redit �� daimed:
n I(We) ownad Me buying under contreci �
�!ave e beneficial interest in Ne entity that is liable for Ne property texes on the property and that owns Ne property cF is'�y"}y�' �� conVact.
If buying on coMrect, Fee Simple ownefs name
Recarders office where canVaa Is recorded
. W�0 (o -01,3�
If arry portirn of Ne 2sidential str
of Ne propery utiiized to produce
Tonnship
Lepal de:
w the WM not
one (1) acre tnat
town,
NB
Rawrd number � Paga
�� �Fjeal property ❑ MobOe Home (LC. 67.1-7)
wrtounda Ihat s re is used to v�'uce income, dascribe the uu and poroon
County Twvnship Counry
I hereby cerfify the above statemenis are We, corteM and complete. °�
�ss (n�ep r aM suee6,yn� uare, Z1P cad�
l�V Z I''�,e-., G� nn�w v,n., �_/l� �—I�