HomeMy WebLinkAboutHomestead_Beghtel�� +� CLAIM FOR HOMESTEAD PROPERTYTAX
" '' CREDIT/STANDARD DEDUCTION
�, r State Form 5473 (R4 / &00)
INSTRUCTIONS: See raverse side forfilirg insWc6ons.
� � FORM Y R
I� H�,o � 6a
�
�UL 13 2pp1 n
����Q���,�r� �/����� � ��gSON C�"" � certify lhat on the tst day of Mardi, 20_
1(We) occupied as our principal place of residence the following descnbed real property for which a Homestead Property Tac Cred@ is hereby davned:
❑ I(We) owned ❑ Are buying under contract
�ave a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contrad.
116trying on wntracl, Fee Simple ownefs name
contract
Counry (.,�'� .
Tamship
7afn9 tlisuid
Record number � Page
Parcel nyu �r Legal desaiption
�/'Y -OY(�o � _ p
If arry portion ot Ne resitlential sWCture w the land trot exceeding one (7) acre that immediatey surtounds that struUure is used to produce income, describe ihe use and portion
of the properry utitized to produce income. �
20 _ Pay 20 _
sser of 12 Homestead
V tlon or 56,000
5
"/3 -fl /