HomeMy WebLinkAboutHomestead_Young (15)� _
� t CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
♦ �/ Sla�eFwmSd73�R6/4-03)
Presaibed by the Department oF Local Govemment Finance
�' INSTRUCTIONS: See ievcrsc side (or liling ins6uclions.
FORM �� YEAR
� ���y�
Hc�o p
H� r 200 � "
��e) certify lhat on ihe 1st day of March, 20_
���I(///We) occupied as our principal place esidence the Imving descnbed real property for which a Homestead Property T� Credit is hereby daimed:
�I(VJe) owned ❑ Are b under contrect
, Have a beneficial interest in the entity that is liable (or the property taxes on the property and �hat owns the property or is buying under a conVact.
I( buyinq om m�VaIX. Fee Simple awners name
RemNers olfica where conVad is recorded
�an,�+,�, j .rr .�£x� R�j'i{•.��tn'}° y�
Lx'3':t 'N'4.'.P_������AHJ_s`;"_l'S�`vS��'�r,�A`F.��
����Y TQYfI5h1p
n i /.15��--
v � ir�
_ V
,
rc a,y �ortion a me residenual swu,ue a
of the property utilrzetl m produce i�ome.
e n Is ihe pro�
!�d` 1.3-� //
land not exceeding one (7 � aca ihat immetliatey wrrounds ihat
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Record number � Page
�lJ� •'• ,
f{uestion:
R� wov�m ❑ rdoMle Homo (/.C. 61.1-7)
ire is use0 b protluce income, desuibe the usa and pwtion