HomeMy WebLinkAboutHomestead_Dewigry� . CLAIM FOR HOMESTEAD PROPERTY TAX
' CREDIT/STANDARD DEDUCTION
State Fortn 5473 (R4 / 8-00)
S ,.�. �
INSTRUCTIONS: See reverse side for filirg instructions.
FORM Y R
Hc,o M 6 6�7,
I (We) ` ' certify
I(We) occupied as our prin piace of residence the tollowing described real prope r whirh a Homestead
❑ I(We) owned ❑ Are buying under contred
�ave a beneficial interest in the entity that is liable for the property taxes on the property and that owns the E
If buyinp on contract Fee Simple ownefs rertre
Recortlefs ofice where contraG is recor0ed
Counry
Township
Legal descripUon
If any pwlion ot Ue residential s WGUre w ihe land rrot exceeding
o( Ne poperty unLZed tn pro0uce inmme.
Record number
Tadng d"uViU (city, town, townshrp)
'�s� '?-a- � o � � s
(7) a�re tliat immeAlatety surtounds Nat sUUUure is used lo pmduce
of a
s er by aim
��� contrad.
Page
use arW portion