HomeMy WebLinkAboutHomestead_Hathaway (2);t CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
/ Sta�e Fortn 5473 (R6 / 4-03)
Presciibed by ihe Departmenl of Local Govemment Finance
See revcrse side lor liling insVUCfions.
I (We) \I L.IAA_Y I—t•l.#'� `Lilil�Jl
I(We) occupied as our principal place of residence the following described real property for
FORM
HC10
YEAR _
ceRify �t�e{nth�l�l d�p�March, 20
stead P periy Tac re�i4�is�iereby daimed:
❑ I(We) owned ❑ Ne buying under contract U /
� Have a benefidal interest in the entity that is liable for the property taxes on Ihe property and that o�`�
O �
I( buying an conVad, Fee Simple ownets name
Remrders ofica whera mntraq is remrEed
Tavnship
Tating
Is the
�� � �
uying und'er a contract.
i i r.l.U��vt1 .
Record number . � Page
property ❑ Mobile Homo (I.C. 61.1-�
H any portion of the resitlentlal sW cW re w the tand not exceetling one (1) aae that immeCiatety surrounds that swcture is used to produce income, desaiba the use antl portion
ot the propeny ut�'¢ed m produce i�ome.
County
County
I hereby cerfify the above stalemenls are W e, corred and complete.
(number arM sheef, city, afate, ZfP code)
Tavnship
20 _ Pay 20 _
Lesserof 1/2 Homestead
vBUaUOn a f35.000
Signatwe ¢'a�� /\�I V IL n I Date