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� CLAIM FOR HOMESTEAD PROPERTY TAX
° ` CREDIT/STANDARD DEDUCTION
S � State Fwm 5473 (R4 / &00) '
INSTRUCTIONS: See 2verse side lw filing insWCtions.
�.� �,,,� : � .,�����-*a���, �y "��� � ,�CERTIF_CA710N'STAiEMENT�'.�
I (We) W r �" '��
I(We) occupied as our principal place of residence ihe t �ng described real property for which a
I(We) owned ❑ Are buying under contreG
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FORM Y R
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a beneficial interest in the entity that is liabte for fhe property taxes on lhe propeRy and that owns the property or is buying under a contrad.