HomeMy WebLinkAboutHomestead_Elliott (3)CLAIM FOR HOMESTEAD PROPERTY TAX
' CREDIT/STANDARD DEDUCTION
t.•» � Slate Fortn 5473 (RS / 10-01)
Presaihed by U�e Departrrent W local Govemment Finance
INSTRUCTIONS: See reverse side /or (ling instructions.
FORM
HC10
�(We) cer6fy ihat on the 1sl day o1
I(We) occupied as our pri 'pal place of residence the (ollowing described real property for which a Homestead Property Tat Credit is
❑ I(We) owned Are buying under conhact
� Have a beneficial interest in fhe entity that is liable (or the property taues on the property and that owns the property w is �-buying in
If byvg on conLact, Fee Simple ownefs name
Recadefs ofice where contract is recordetl
.-'-�'��.'�3"'r,�'� __—.—:�'�
Counry � Toxnship
�71W'FJoMb Y CJV I
H eny ponion al the resi0ential struqure w Ma
W Ne property uL7¢e0 tu produce income.
Remrd number
7aing disUict (dry, fown, township)
YEAR
Page
vP f jp I Is ihe pmperty in queslion:
❑ Real propery ❑ Mobile Mpne (1.C. 6f. f-� .
Net immedatety wrtounds ihat swcNre is used to protluca income. desrnba Me uae and portbn