HomeMy WebLinkAboutHomestead_Hayes (7)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDITISTANDARD DEDUCTION
State Fortn 5173 (R6 / 4-03)
Resafbed by tM Depeitrnent d Locel Government Finarxe
S8B lB�dIO� didi b I8'&ly %Ii�IC�10�10.
FORM
HC10
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YEAR
/ n 1 / ///7 1 � / lV. • " + LVUJ
� M/e1 «� ������ �-�i«a� �' certify lhat on the 1st day of March, 20_
I(We) occupied as our principal place oi residence �he follmving described real prope for which a Homea[ead Property Tac Credit is hereby daimed:
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❑ I(VJe) owned ❑ fve buying under contracl O ��
� Have a benefidal interest in the enti that is liable (ar ihe ro e taxes on the ro e and ��SON �`OI INTV e i i��—� _
ty P p rty p p rry a owns tKe property or ts buying under a contraU.
If byvy om m�Vari, Fee Simple owner's name
afice where conUaa is recoNed
Counry
�f anY
of Ue
ramsnip
struqura or Ne land nd extceding ane (1) aae that
ice i�oma.
3
Record number
Taing disUicl (ciry, rown. �ownshiP)
Is tha prop\��y' quesUon:
][J Real WcDeM ❑ Mobila
Page
wrrounds Ihat �WCUre is used to produce income, desttiba Ne use antl portbn
�zc'.�.-��.-��...,�'�° ie3Je�N`�-�i��;��,t�'c�,-'.STANUARU:DEOUCTION'ALCOWAHCE°�c�'�.�+e3����3�.s:���:`.-'��:�e"`'��.i"3.�1,�'u��'—�_°�—',T
20 _ Pay 20 _ .
� Lesser of 1/2 Homestead
vauaum a f35.000
5
Signature of Auditw � Date signetl