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> �t CREDITISTANDARD DEDUCTION
State Fortn Sd73 (R8/ 7-07)
•� ��. � Rescribed by Ihe DepartmeM of Loml Govemment F'vance
INSTRUCTIONS: See reverse side /or filing insWctions.
�(we) lS.1Z/111�<_� 7/ /�1_!S!1J 7//—y/1(,7
I(We) occupied as our principal place ot residence the following described
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OCT 2 3 Zu�a
'C..�J certify thaNeifli76�PkFda�}1MbYat57+1�2UPfi
propeAy for which a Homestead Property Tac Credit is hereby daimed:
I(VJe) owned U Are buying under contracf
Have a benefidai interest in Ne entity Uiat is IiaWe for the property faxes on the property and that owns the property or is buying under a contraIX.
If buying om m�traq, Fee Simple rnmefs name
RecaEers office where coniracl is recwded
Caunry
Twvnship
lown.
Parc^�um6er I Legal � np�6j� �� �� / I Is Ihe pra
S LSCS � /����
I( a 'on o1 ihe residen6al strucWre or the land noi exceeding arre (7 ) acra Ihat immediately wrtounds Ihat
of operty uliGZetl to produce inmme.
�G-Ia-��,�03.��.�3 6a�
Recortl number � Page
propeM ❑ Mobile Home (1C &1.7-�
used tu produce inmrtre, describe the use and porlbn
,_ , _ . . .. . .
„..
Land not exc�ng t(orre) a�re immediatety � =
surroundingresidentialimprovements. (�� r � �, ` � - �- �
Other land (2) � - � ...
Tdal land (line 7 plus Gne 2) �3�
Dwelling (4) ._ �