Homestead_Williams (16)�� , CLAIM FOR HOMESTEAD PROPERTY TAX
' CREDIT/STANDARD DEDUCTION
Sta�e Form 5473 (R6 / 4-03)
Prescribed by the Department of Local Govemment Finance
INSTRUCTIONS: See revcrse side /or Iiling insimctions.
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I(We) 4� 0�l e, r. � 1. , , e'� .S �� n�R@eriiry Uiat.on the-0st day�of March, 26
I(We) occupied as our principal place o reside ce Ihe following descnbed real property for which a Homestead Propeity�T�c�Creditis hereby claimed
�(VJe) owned ❑ Are buying under contract
�Fiave a benefidal interest in Ihe entity that is liable for the property Uxes on ihe property and fhat owns the property or is buying under a conVaU.
If buyirg on contraa, Fee Simple owners name
County
Parcel num6er
^� / �
i( any poRion of
of the properry �
recorAed
Record numEer � Page
Twmship T� di Iric� (c' fown. fownShiP)
Legal description Is the Orope in question_
w„oc�m � �,ww�a H�„o u.c. s,.,-n
cWra w the land nol axceetling one (1 � ave that immediatety surtounds that sw re is used to produce incame, descnbe the use antl Do�on
.?�.'��"".,'�',.�`�'==u���c�'.,,,� �-��P,ROP,ERTY,OWNEU�;BY CL'AIMANT;IN��:OTHER'COUNTIESL`�?'���'-�'� �'>�`�.�-�l�+i66';.#.�3.'b9
Counly Twvnship Counly Tarnship
I hereby certify the above statemenls are W e, cortecl and complete. Signature ol claimant
'dress (num6er arM sLeet, ciry, stafe, Z!P code)
�,�w�� `�;�r,�n���'a`�.%���._.�rf�,�STANDARDDEDUCTION'ALCOWANCEt':����'yL'-�'- � _,'°. "`:�f��Y�''3�'cs':�i�i�.-���^{�
._� _...
20_Pay20_
Lesser of 1/2 Homestead
Vauauon or E35.000
S
SignaWroofAudit Date psigned
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