HomeMy WebLinkAboutHomestead_Slunder (5)CLAIM FOR HOMESTEAD PROPERTY TAX
� _ " CREDIT/STANDARD DEDUCTION
t � Slate Fortn 5473 (RS / 10-01) . . . .
�� Presvibed by Ue Departrnem of Lttal Govemment Finance
INSTRUCTIONS: See 2verse side /or (ling instrucfions.
FORM .YEAR
� HC10. . y
� � .�' _� �. _
�(we) / (.�/ � certify Ihat on the-tst day,of March�20 //
I e occu ied as our rin ���`�� � y� �` �
(W ) p p place oi residence the following described real property for which a Homestead P�roperty Tac Credit is hereby daimed:
�n_ i
I(We) owned ❑ Are buying under contract �
Have a benefidal interesl in Uie entlry that is Iiable for ihe property taxes on the property and that owns the property or is buying under a wntraU.
I( buymg on contraq, Fee Simple ownefs name
Recordefs otfice where coMracl is recordetl
Courrty
Parcel
Tamstdp
Legal
��-oo aYg' - 4+ (7
i portion o/ Ne residentlal struqure w Ne tand
a property ulif¢ed to produce income.
po6-�1788-0� L.�.
(t ) aae
Record number
Tating d'aVict (tiry, town, township)
Page
Is the pro m question:
� Real pmperty ❑ blobile Homo (I.C. 61.1-n .
iund5 Ihat 5W cNre is used tu produce incane. Cestriba the use and poAion
.,�n...x.,sN�' . ��--, �_ ^�,�— - ----�- � — � - �---- -�--- - - - ----�� i� — �-�-a� �--iG�,+�Z, r.,. '
�� ,s,�'�,�"�i�w�'"��-€P,R02ERT.Y,:OWNED;BYtCLA1MANT.IN�,OTHER`COUNTIESS�.a3;:n�.,- ' ,:_ '�x. ' .�;:, � -
County Toxnship County . Twvnship
I hereby certi(y the above statemenls are W e, corted and complete. Si9n t ot cia"unant
�dress (number aM stree(, city, afa(e, Z!P code)
20_Pay20_
Lesser of f2 Homestead
, VaivaJ o� or $6,000
5
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