Homestead_Walker (3)�, CLAIM FOR HOMESTEAD PROPERTY TAX
' CREDIT/STANDARD DEDUCTION
Staie Form 5773 �R61 {-03)
PrescriOed by l�e Departmenl of Local Govemment Finance
INSTRUCTIONS: See revcrse side /or liling insfrucfions.
�
yV1 FORM
� Hcto
YEAR
�
� M'e) e that n e t d of March, 20
I(We) occupied as our principal place of residence ihe following descnbed real property for whi o o �c redit is hereby daimed:
❑ I(We) owned ❑!ve buying under contract � �AN 1 O ZOOS
' Have a benefidal interest in ihe entity that is liable for the property taxes on the property and that owns ihe property or is buying under a conVact.
II buyitg om m�Vact, Fee Simple ownefs name
Recorders olfice where conVact is recordeA
County
Tavnship
H any portion of Na residential sW cture w Ne land not
at tha properry uulizeA W produce income.
Record num�er � Page
Tacing dislrict (city, fown, township)
� 1 y-a � i a o�s yy�prpperty in quesGon
W(�� Real Droperry ❑ Mobile Homo Q.C. 6/.1-n .
one (1) aae thal immediatey wrrounds that swaure is used m protluce income, tlesmbe Na use antl ponion