HomeMy WebLinkAboutHomestead_Mull, CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT/STANDARD DEDUCTION HC10
�/ State Form 5473 (R6 / 4-03)
Prescribed �y Ihe Departmenl of Lacal Govemment Finance
INSTRUCTIONS: See revcrsc sidc /o�liling insfmc(ions.
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I(We) certdv that on the 1st d' of March, 20
yy yl r�� � ti� y
I(We) occupied as ou rincipal place of residence lhe following described real property for which a HomesteadPropeAy Tmc—CreB�efeoqdaimed
❑ I(VJe) owned ❑ Are buying under contracl . MAR O H?OOT
, Have a benefidal interest in the entiry that is liable tor the property taxes on Ihe property and that owns the Qmperty or is buyin0 under a wntraG.
116�ying om m�tract, Fee Simple ownefs name
Remrdefs ofice where conVaa is recordeA
Counry
Tamslilp
iating aistrict (ciry, town, townshrv)
Record number � Page
�''') 1 Is the pmperry in quesUon:
O �� aa3 � �y p� � I 1 ❑ Real pmperty ❑ Mobila Homo Q C 67 7-7)
It any portion ot the residenUal sW dure w Ne land not exceeding one (t ) aae Nat immeaiatey wnounds that swcwre is used to produce income, desviba the use antl portbn
ot the properry uWized to produca income. ". �/�
v
20 _ Pay 20 _
Lesser of 1/2 Homestead
vauaLOn w S35.W0
Signa[ura of NMrior
5