Homestead_Wisen.
,� CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
� Sta�e Fwm 5473 (R6I403)
Prescribed by the Department of Local Govemmenl Finance
INSTRUCTIONS: See reverse side loilling ins�nrclions.
FORM
HC70
��e� � ertifyLation e S� �sl Aay�
I(We) occupi as our principal place of residence the following descnbed real property for which a Homestead Property Tac Credil is
❑ 1(We)owned ❑ Arebuyingundercontract . APR `�O ZOO�F
H be fi' '
YEAR
20_
� ave a ne aal interest m Ihe enhty that is hable for the property taxes on Ihe property and Nat owns lhe propeRy, or isbuying under a wnVaU.
I( buying on conVact, Fee Simple ownefs name
where mnVaa is reoorded
Parcel number
Township
Le9a1
ol lhe resitlantiel strucWre w Ne land not exceetling one (1) aae that
y ulilizetl b produce income.
Tating tlislrit� (cify, town, fOwnship)
Is
Record number
Pa9e
al praperty ❑ Mobile HOmo (I.C. 6/.1-7)
is used b produce income. describe Na usa and portion