HomeMy WebLinkAboutHomestead_Rawlsrt� } CLAIM FOR HOMESTEAD PROPERTYTAX
' CREDIT/STANDARD DEDUCTION
'� � Sfate Fortn 5473 (R4 / &00)
INSTRUCTIONS: See reverse side for fili/g ins6uctiais.
FORM Y R
H�,o b'�
� (We) ' ' certify tha�l�ie�s�dap��larch. 20
I(V11e) ocwpied as our p� ' al place of residence the following described real property for which a Homestead�Property Tac Credit is hereby daimed:
❑ I(VJe) owned ❑ Are buying urWer contrect
�ave a beneficial interest in the entity that is liable for lhe properry taxes on the property and that owns e�mpeJty �� J v, �UUITOR ' aa.
If buyifg on conVacL Fee S"unpte ownefs name
Recordefs office where contraC is recorded -�
Tcwnship
�rCN /G /�� ILe9al
Ii any potlion ot Ne resiEential sW cture w Ne lantl rrot exceeding one (1) aae Nat
of Ihe property utiized to protluce irrcome.
Record num6er
G.,� a �. � -
!Ciatey 5urtounds that structure is used to pmduce inmme,
Pape
Ihe use aM Portion