HomeMy WebLinkAboutHomestead_Coomer (22)CLAIM FOR HOMESTEAD PROPERTY TAX
' CREDIT/STANDARD DEDUCTION
\ - � State Form 5473 (RS / 10-01)
��� Prescri6ed by Ne Departrnent ol Local Govemment Finance
INSTRUCTIONS: See 2varse sidelorfiling instructions.
FORM
HC10
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YEAR
I(We) �/ U CIL/ V _. certify thal on the tsl day of March, 20_
i
�I(W occupied as our principal piace oi residence th fo owing desaibed real property tor which a Fiomestead Prdpe�j Tac Credit- �is- �ereby daimed:
(We) owned ❑ Are buying under contrad / G����.'TV AUD�IT�O�R 1
� Have a benefidal interest in the entity that is liable for ihe property taxes on the property and ihal owns lhe property or is buying under a wntraU.
If buying on contrecf, Fee Simple ownefs name
Remrders ofice where conVad is recorded
Counry
Tamship
land nd exteeding One (1) arre thel
Tating districl (ciry, town, townshiP)
the
Record number � Pa9e
� Lnaeal property ❑ MobOe Hwno (I.C. 61.1-7)
Ihat swqure is used to protluce incane, desttibe the use and portbn
20_Pay20_
Lesser of 1f2 Homestead
Valuation or $6,000
S
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