HomeMy WebLinkAboutHomestead_Majewski; rt�� t CLAIM FOR HOMESTEAD PROPERTY TAX
� � CREDIT/STANDARD DEDUCTION
` J State Form 5473 (RS HO-01)
��� Prescribed by the Department af Local Govemment Finance
INSTRUCTIONS: See reverse side for �ling instruc�ions.
FORM YE
H�,o Y`ti o 6�
I(We) � certif�p��i�( otittFi �GIN�y of March. 20_
I(VJe) occupied as our principal place oi residence fhe f 'ng described real property (or which a Homestead Property T�c redit is here daimed:
/
❑ I(We) owned ❑ Ne buying under contract
�ave a benefidal interest in the entity that is liable for the property taxes on ihe property and that %��4i1(nA�Y�i buYlr�lu4ifer a contract.
GI8 ��iw �-
I( buying on conVaq, Fee Simple owners name
Rewrdefs otfice where conUad is recordetl
'.--' -P-' ;� r�,'�± -' : �'. � `� �'' .� '�' -'. ,�� � �F "ti � %� ' �
County Tnvnship
descriqtion
I( any portion ol the resitlential sW ctura w the land nd �ceeding one (1 J aae ihat
ot ihe proDerry uUGzed m produce inmme.
disGict (city, tawn, township)
Is ihe
Record num6er
❑ Mobile Fiomo
Page
&1./-7)
surrounds that suuaure is used to produce income, desuibe the use and portlon
! �E.c-'���c���:r?'-'a���`i,�}`s��i�'�tiL��;ST/W�ARU:DEOUCTIONAI[OWANCE., �.au�°�..�7�x �`�'-r.e_`�'i2?`�r�`'�'a-�w�'��rr.>`::�
20 _ Pay 20 _
Lesser of 1!2 Homestead
Valuation or $6.000 g
Signatura olAUditw � Date sgn� O�
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