HomeMy WebLinkAboutHomestead_TapleyCLAIM FOR HOMESTEAD PROPERTY TAX
" ' CREDIT/STANDARD DEDUCTION
t N» � State Form 5473 (R5l 1P01)
Presaibed by Ihe DepartrneM of Local Govemment Finance
INSTRUCTIONS: See reverse side �or filing instructions.
' J q-
FORM
HC10
YEAR
I(We) / � certiry that on th�te- �1s,t day of March, 20_
I(We wed as our prindpal place of residence Ihe following described real property f which a H eslead Pro���rmc��.,rg'diQ�@�eby daimed:
I(We) ownad ❑ Are buying under contract ` / �
iHave a 6enefidal interesl in the entity that is liable for the pmperty taxes on Ihe property and Nat owns /p�operty_oF�buying under�a cor�r'ad.
If buy'vg m contrad. Fee Simple owners name
Recadels ofice where contract is recorded
_ �,�"�rr:�.x..ezn¢^�_ �g�ct�"2�'�
County � Tamship
-x� � - �. � �.� -��� ,�r�
N any ponion of the resitlantlal sW cWre w tt�e land not
ot tlie GroVeNY util'¢eO b produce iircome.
one (1)
Tating
Retord numDer � Page
Is the pmperty in quaztion:
❑ Real Droperty ❑ Mobile Homo (I.C. bf.1•� .
iunds that sWCtura is used to produce income, desaibe Me use and portbn
�`?��'^.a�.�'�'-av %,��'z:��"��.�m. ��STANDARD:DEDUCTION'AL1-0WANCE �..�`m:,`x'.y�'a,�; ..��' a�a�-"`€-:�'e. �""��i��.S'���.�.�i��`�.
20_Pay20_
Lesser oi 7!2 Homestead
Valuadon or $6,000 S
Sgnatura of AudHw ' Date signed
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