HomeMy WebLinkAboutHomestead_Burst� �� � CLAIM FOR HOMESTEAD PROPERTYTAX
- CREDIT/STANDARD DEDUCTION
'., j State Fwm 5473 (R4/ &00)
IN57RUCTIONS: See reverse side /or filing insWCtions.
FORM Y R
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1(We) �t t..1U l> �IVJ 'j� 1\ \�l V i A� 1 certify tAatdm tAe 1sYday ofNlarch, 207
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I ) occupied as our principal place of residence the following descnbed real property for which a Homestead PropertpTac CrediLis�bereb`y�da'uned
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I(We) owned ❑ Are buying under contrad
�ave a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buyin9 under a contrad.
II Ouyinp on conVacL Fee 5"unple ownefs name
Recorders ofice where contrad is reco�ded . .
County Tpvnship T m nct (ciry, fown, fownship)
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Parcel num6er Legal des �pGOn �
G �5 `��5 j'1S-�d
It arry portion ot U�e residential sW clure a �he Wnd imt exceetling one (1) ave that imme0iately surtounds that
of the property utiGZetl to protluce income. - --• . � �
Record.number
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IS USEd IO QNdUC21(ICOfIIE. A25fflb¢ lhE 1152 dlld pOR10l1
20 _ Pay 20 _ I
Lesser of 12 Homestead $
Valuation or E6,000
SignaNre of Auditor