HomeMy WebLinkAboutHomestead_Hedge (5)...,,
� t CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
S � State Form 5473 (R4 / &00)
,.,.
A INSTRUCTlONS: See reverse side for filing insLvctions.
��
' t[GJ ' i
� : e_
L a ; i-
� � I I
i (We) � y���N_�O.} T ,��, �N
I e) as our prineipal place of reside the following described real property for which a Homestead Property Tac C�d�l isiier��%'daimed
I(We owned ❑ Are buying under contract
Have a beneficial interest in lhe entity that is liable for the property taxes on the property and that owns the property or is buying under a contrad.
.'-��_�,..'�"?,¢.i.� �qk�3 's�'3. 'y-,c;���ai,._`_,�?�'.'-,�`r_ CONTRACTeREGORDED 5�'���C�' u.�.u*'�< , s� -'�r-,
�.s__ ``�.�--- -- — Z3�#t��� � � � - �.�. ..�
If buyirg on contracl, Fee Simple ownefs name � -
Recordefs oRKe where contraG is recor0e0 . - - - Record number . Page .-
County
' 6/// cl / �C/�i 1 � \(Jl_1C3X.V
i ol ihe residentlal sW cture w �he land no� exceeding one (1) acre Ihat
rty utilaetl to produce inwme. � .
Twrns�ip
I hereby certify the above statemenls are We, corred and complete.
�ress(numberandstreeC�fate�Z�IPcode) n �
surtounCS that
Counry
Rf?il
e income, tlescribe the use and pwUon
TwvnShip
�`X'c�`'�`��,�.�F,���=`-'�y�(X',,��STANDARD`.DEDU6TIOMALLOWANCE��,.�����;�^'-n�'o'?�kr�?�.� ���'''ta�F,�
a�"�"�ed��r--�-� r:.r �� s- .x.,:�:ka2s.r.if'o.�.:,,`
20_Pay20_
Lesser of 12 Homestead
Vatuation or 56,000 $
Signature otAUtlitw Date si ned