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` CLAIM FOR HOMESTEAD RROPERTY TAX
�° CREDIT/STANDARD DEDUCTION
� State Fortn Sd73 (R6 / 4-03)
' Rescribed by Ne Departrnent of Local Govemment Fnance
� INSTRUCTIONSi See reverse side for filing instnidions.
FORM
HC10
YEAR
_ ................... ���.._ ... . -
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� M�B) certiry Nat on the tst dey of March, 20_
I(We) occupied es o 'ndpal place of resid ce ihe fdlowing described real property for which a Homestead Property T�c Credit Is hereby Gaimed:
�(We) owned Are buying under contract
, Have e benefidal interest in the enliry that is liable for ihe properry taxes on the property and ihat owns Ne property or is buying under a conVact.
It buyinp m conVeq, Fee Simple ownets name
RacoNefs ofice where conVact Is racorded
Counry
Parcel i
w ma
descrip6on
� 1 7'�7� �.lA� o
9ntlal sWCture or the IarM not eviceedinp ona (7 ) acre
produce income.
Rewrd number
(ciry, rown,
Paga
Is the property In Question:
�al proparty ❑ Mobile Home (I.C. G7.7-�
surtwnds that s cture is used to p`vduce inmme, describe the use and poRion
� ��%TaYi^ - Z �4 ^%$f:c f , j '.. n - ' ' _
_ y. , ._ �n �':.r+f.;.-K �.�y;^�rW � �.:'`STANDARD;UEDUCTON'AL'LOWANCE - , �: -��
20 _ Pay 20 _
Lesser of 1f2 Homestead
Valuation w 535,000 g
SlgneNraofPuditor Datesigned _�
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