HomeMy WebLinkAboutHomestead_Iunghuhn�.
� CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
/ Sta�e Fwm 5473 (R6I1-03)
Prescribed by the Departmenl d Local Govemmenl Finance
INSTRUCTIONS: See reverso side lor /iling insWCfions
FORM YEAR
,1�HC10� � � ��
f5-�1
j� � �1 t1L3'�
AUG G � 2003
I(We) 1�^l � KN/ /L certify�that.on.the�lst dayof Mareh: 20�—i
I e occu ied as our rinci al Iace ot residence Ihe owin described real ro e for which a Homestead Pro e Tai CreAiCis�heieb � daimed
(W ) P P P P 9 P P hY P hY' Y
❑ I(VJe) owned ❑ Are buying under contracl
� Have a benefidal interest in the enfity that is liable for the property taxes on the property and that owns the property or is buying under a conUaU.
if buying on conVaq. Fee Simple owner's name
County
�
portion ol
DroPenY i
e conVaa is recoree0
.§ '4 `r��, t z ��� ` �' �` � '' � " � ' r-" ' �� �� h P R O P E F
Tamship
L al scription ?
O
uLenlial sWdure w 1he land nW exceetling ona acre Ihat
tn woduce income.
Record number � Page
7ating tlistriCt (dry, town,
I Is the P�OenY N question:
❑ Real properry ❑ hlobile Homo (I.C. 61. f-7) .
wrrounds ihat swcture is used b produce income, desuibe Me use antl portbn
..':._-''�'.'a<<'v.?�.,+�-�-.�.-r�-a�..�"'�����-`"i��''S�STANDAR�:DEDUCTION�ALLOWAtJCE';:.C�.�F� '.�..r�+�F ��°^ti ��',«,e�"'�?� x�
20_Pay20_
Lesser of 1l2 Homestead
vauanon or 535.000
S
Sgnature ofPUdilw ' Date signed