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HomeMy WebLinkAboutHomestead_Riley (9)��� � CLAIM.FOR HOMESTEAD PROPERTYTAX ' CREDIT/STANDARD DEDUCTION `� � State Form 5473 (R4 / &00) INSTRUCTfONS: See raverse side lor filing insWctions. i• � �_� �� ��L � � I II � (we) 7 / `�' LJ ���ro�;;4�pan.�3.h�I20— �I([We) ocwpied as our prindpal place of 2sid ihe foliowin described real prope fo ich a Homestead Property Tac Credit is hereby daimed 11�� I(We) owned ❑ Me buying under ntreG - �-lave a beneficial interest in the entity that is liable tor fhe property tazes on the property and that owns the property ar is buying under a contrad. If Duy"ug on contract Fee Simple awnefs name Tamship 7acing Record.number � Page ��-94�/�y � ��'�� ��i'-a•_/d �D6Q� If arry pwUon of Uie residenUat sWcNre or ihe land irot exceeding one (i) afie Ihat immediatety surtounds that structwe is used to produce inco�, describe ihe use and portion of Ne property uGiizetl to produce income � � - �"�i��� �`��r-"�.s,�,-�����t��y 8TlU1DARD`DEDUCTION ALLOWANCE�°.--'�-,-'-� �<'�.�-�`��'`.�.y �?,�'`�'t'',jiF++rs- �:t _ 20_Pay20_ Lesser of 12 Homestead Valuation or E6,000 $ Signature of Autliror oate signea