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� CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Form Sd73 (RB / 403)
Prescnbed by the Department of Local Govemment Finance
INSTRUCTIONS: See revcrse side Iorlling instrucfians.
FORM YEAR
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i �ve> w vvu. '[Ot�w /l� l,�ert;ry u,a��j u�e��g�`dr�narcn, zo_
I(We) occupied as our principal place oi resi ce lhe following described real property for which a Ho e1d�Pr`��[(�y`I� Crktlpl� he1e6 daimed:
❑ I(We) owned ❑ Are buying under cont2ct
GIBSOt� �J,�' Y
CHave a beneficial interest in the en6ty that is liable for the property taxes on the property and fhat owns the property or is buying under a wntraU.
If buying on conUad, Fee Simple awners name
where conVacl is remrded
To.msn�v
Pdt�n qib� �O � �� � I egal desc � ti / _ /� /�
l� ! � I> � f ( l
H any portion af NB resitlentlal aW cWre w the land not axceeding one (1) aae Nat
af Ne property util¢ed tn produce i�ome.
Counry
To.vnship
I hereby certi(y the above statements are We, wrrecl and complete.
�;ry, �yra, ziay°3a4 (1.lL // r
Taing discrict (dN, fown.
County
Rewrd number
Page
roperty in question:
❑ Real DroPanY ❑ blcbile Homo (/.C. bf.t-�
that swcture is used to produce income. tlescriba the use and portion
Twvnship