HomeMy WebLinkAboutHomestead_Cates, - .-.
_ � CLAIM FOR HOMESTEAD P.ROPERTY TAX� ��
� CREDIT/STANDARD DEDUCTION n S
t w Stata Fortn 5473 (R6I4-03) �T
' Presuibed by Ne Department of Local Govemment Finance
� INSTRUCTiONSr See iaverse side for filing instn�ctions.
FORM � YEAR
HC10
���,�.�
�(We) ��y� �� D� Y 1Li�P_, .,,i� 1'� �certify that l n th�s�d�bf�arch, 20
yy�1y(W(((e���) occupied as our prin I place OT�follo1wing d nbed real roperry for which a Homestead P%�p7e�rt,y T�c �dit is hereby daimed:
�(We) owned � Are buying under contract J j J� m�� Q p� �Q �,(� �a�-/y'
ave e benefiaal interest in the entity Nat is liable for t h 0 property taxes on N� �SbNdrQOtJNptgn'pg�� conVacc.
`�"''��=i 5,`°�a'ri�."ts'e?'�3.� S''a-3...�5'ia;�s.,-�'.�.;ti.±;'z;;�r++�?nx;Q-s:1'xFCONTRACT•:RECORDED. .` .': . .... , . �.: :-'� t � i..: _ .. _ . .
If buylnp on conVSq, Fae Simple owners name
Recordefs ofiice whera conVaG 15 recorded
.iF`�'3H'.:L*�l'viiII(2 S•S;._Jy�351 b�:`Y'2"�4 kTr"XY.j4�l
Counry Tavnship
Parcal Qnumher Le I e;
i` ' �
If eny portion of Ne residentiel structure w Me WrM not
d Ne property utllized W ptoduce income.
Racordnumber �Pege
TsriM L J trkt (ciq: rown,
��� / � I Is Na prop�erty �in q\uestion:
3 ,�gal proparty ❑ Mobile Home (I.C. E1.7-7)
one (1) ecre ihat immediately wnwnds t�et strucNre is used to produce inwme, desuiba Ne use and portion
20 _ Pay 20 _
Lesser of 12 Homestead
Valuation w 535,000
S
� �o — � lo -O`�