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CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Slale Form 5473 (R6 /403)
Prescribed by the Department of local Gavemment Finance
INSTRUCTIONS: See reverse side /or /iling instmcfions.
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I(W upied as our principal place of residence ih Ilo ' g described real property for which a Homestead�Property'�T�i Credit is hereby daimed:
I(VJe) owned ❑ Are bvying under contract �
Have a benefidal interest in the entiry Nat is liable for ihe property taxes on the property and that owns the property or is buying under a wnvaG.
FORM YEAR
�—�HC10 i� �'��
I � 1� ��
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MAY 2 4 2�04
if buying on conVaG, Fee SimDle ownefs name
Remrtlefs ofice whera coniraq is recorded
Couny
Parcel
7avnship
1,L/ 7 ' V / ! / / 1 i107 / (�\\.CY1c.L-1L
N any poNon of Ihe residentlal sWdure w �he Wnd not exceeding ona (1) arre Nat
oF the properly uti¢ed fn produce ixome.
Record number
Tating disCnt�Y�4;.fown. fowruhiP)
Page
I Is �he praperty in queslian:
❑ Real pmperty ❑ Mobile Homo (I.Q bf.1-�
wnountls lhat sWCture is used b produce income, desttiba Ne use and pwtion
�•.o-��-t����t?�3?��'�i:s��m7':��".i��.-�STAN�ARD:DEDUCTIONALCOWANCE�.-i �iSs"�c .<i.��"��.`�vm�.�+�""K.,. 2e^"�'��s�`?.°�`.��,``�.'i =�:
_. _ . -- -_ ...
200 5 Pay 20 Otj
Lesser of 1/2 HomeStead $
V81UaLOf1 Of E35.�0
Sign itw� �ate signeA
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