HomeMy WebLinkAboutHomestead_Meyer (10)� : CLAIM FOR HOMESTEAD PROPERTY TAX ��
• CREDIT/STANDARD DEDUCTION ,���
� State Fortn 5473 (R6 / 4-03) ��
Prescribed by the Depariment o( local Govemment Finance
INSTRUCTIONS: See �evcisc side lor lilrng inslnictions.
FORM
NC10
YEAR
ti
��e� � � � certify �hat on the 15t day o( March, 20_
I(We) occupied as our princ' al place of residence fh ollowing descnbed real property for which a Homestead Property T�c Credit is hereby daimed:
❑ I(V✓e) owned ❑ Ne buying under contract
' Have a benefidal interest in Ne entity Nat is liable for the properry taxes on the property and ihal owns the property or is buying under a wnVact.
If buying om m�Vaq. Fee Simple ownefs name
Recadefs olfice where conVacl is recor0ed
�-'a�.5'���r���,?r� rti4v_ _x.�ti �� �*'?ti�s�°E'�P
Coun�Y Tamship
Parcel number
rc �,y pon�a, a
at ihe properry i
Legaldescnption
:idenlial sWCfura w Me land not
tn Woduce irkome.
Recortl number � Page
� ��� I Is ihe property in question:
❑ Real Droperty ❑ Mobila Homo (l.C. 61.1-�
) aae�ihat iatery wrrounds Nat swcture is usetl m produce income, desaiba Na use and ponbn
�'{'�Q'' i. � ` � nY`��P.ROP,ERTY,OWNEU'�.BYCLAIMANT;IN:OTHER"CUUNTIESf/`'i�`":�=i�.�,�-i?`:'��,�"�..� '�. '�•'+�
-�� '�":��3%J�: �'°'
County Twrnship Couniy � Twvnship
I hereby certify ihe above statements are We, corted and complete. Signature of claimant
edress (num6ef aM sbeet ciry, sfate, ZlP cade)
�+'_--^',.�saT"�t�''���w�'m$.c!:�i���?'�'.�-.�:.`�� --'-STANDARU:DEDUCTION'ALLOWAlJCE; �� �;pk", y.��`�x�"'�,���`'�..�°A_,��`E:�};3�3`�.��=y
20_Pay20_
Lesser of 1Y1 Homestead S
vauaUOn or 535.000
Signature ofAuditw " Date signed