HomeMy WebLinkAboutHomestead_Haubold. �; CLAIM FOR HOMESTEAD PROPERTY TAX . �
CREDITISTANDARD DEDUCTION �
�J S�:�le Fcum 5173 (R614-03j
PrescnheC by t�e Department of lacal Govemm�nt Frianc�. ' �
INSTRUCTIONS: See re� cis� sidc (or /iliny ins6ur.linns.
FORM
HC10
YEAR
�. ..._�-,. ._ ....r _ �:--._....._".._.._....�...�......
1(Wel � � - '- certity that on t1�1�� d� � t��� 20—
I(We) occupied as our principal place o( residence the following described real propeAy lor which a Homestead Property T�c Credit is hereby Gaimed:
❑ I(We) owned ❑ Are buying under wntracl � � �y. �
' Have a benefidal interesl in the entity that isiiable for the property taxes on the property and Ihat owns ihe prq@�iAyjs,a��un� contracl.
�3;L�'�wfizTF��"��,_�..'.�..'�--s?�,xi` r��; v?'Lr �:CON7RACT;RECORDED-..: . •_n.� - . _
If buying on contrad. Fee Simplo owners name �
Recordefs ofice where contrad is recordeE � Record number Page
Caunty
Tavnship
ESCRIP,TION:%°r 3�.;-:"=' _ ':' -'''-...
Ta�ing dislricl (ciry, fown, Iownsbip)
Nar^ i n r. Leg es 6o Is the property in question:
_� � _ I �•� � � ❑ Real property � ❑ Mabila Homo Q.Q 61J-7)
It any portion o) Ne residentia� siructure w[he Iand not axcaeding one O acre tha� immodiatety sunounds that sbucture is used b produce income, describe Ne use and portion
of the property utll2e0ln produce income. -
20_Pay20_
Lesser ot 1/2 Homestead
vawauon w 535.000
3