HomeMy WebLinkAboutHomestead_BordersCLAIM FOR HOMESTEAD PROPERTY TAX
° CREDIT/STANDARD DEDUCTION
t � Slate Fortn 5473 (RS / 10-01)
�w Prescribed by Ne Departmenl of Local Govemment Finance
INSTRUCTIONS: See 2verse side for filing instructions.
FORM YEAR
HC10
a. � -....� . i
� li..,J �
��e) � cert�'jC/���,�at on the 1 s�t day of March, 20 ..
I(We) occupied our principal place oi residence Ihe following desaibed real properry for which a HomesteaBRioperty 7m� �editis hereb��-a-im{ed:
�" GIBSON CJOUN7v ,y���TOR I
❑ (We) owne ❑ Are buying under contract
Have a benefidal interest in the entity that is liable for the property taxes on the propeAy and that owns the property or is buying under a contrad.
�'ti.-�;+a'.�?�.��-�`�,c?;'�"'.-'v��'�-�f".`�.-�icoMrrv+crRecoROeo;�.��"`��,:q�s��� : w�.,:crserz��,�y�y�.-.-,,,.��
If buy'ug on conVact Fee Simple owners name
Recordefs o(fice where coMraq is
Coun�y Taxnship
P cel nu ber Leg cri ion
�� �
H eny portian of Ne residentlal atruch�re w Me land not exccceeeeeeQQQmg on (1) ao
of Ne property WI@ed tn produce income. 1 1.
� � ��a
Twvnship
I hereby cerUy the above statements are We, corted and complete.
Addreu (number aM streel, ciry, stafe, ZlP tode)
Record number � Page
I Is N8 Droperty in slion:
Real Droperty ❑ Modle Homo (I.C. bf.f-�
wrtounds that swGUre is useE to produce inmme, descri6e the use and portlon
County