HomeMy WebLinkAboutHomestead_Richardson (16)CLAIM FOR HOMESTEAD PROPERTY TAX �. FOrtM'�'"ti - YEAR
} CREDIT/STANDARD DEDUCTION Hc10 `'°"+ �
State Fwm 5473 (R6 / 403) �+ 1 it--.�
Prescribed �y ihe Department of Local GovemmeN Finance q q
INSTRUCTIONS: See ievcrsc side lor liling inslmcfions. � 0� �+ � L00�
�`-�C,{,� ,:-•�- -- �'� z.-ry ;t! ��#s'_';CERT7F,ICATION STATEMENTr �# . ..� — �• -' :� .�y��-� - - g-" •r-
-�f#YE.;�`�`�.�,¢'��".�s�'e�`�.-et� .t-�?an _,.._. . ....._.. .....__. iwhS?' �`Cz"r•'..:_-F �[X�:je�'�i��� .%i-:t��"':.
�-�^-`"�%�±"'_" ...t,e''{�
i lWe) � e- �� . c�� �o Q' ., � L �er�ry,that'on the 1sl day of Ma�ch, 20
I(We) occupied as our principal place of residence the following described real property (or which a Homestead Property Tac Credit is hereby daimed:
�(We) owned ❑ Ne buying under contract
' Have a benefidal interest in the entity that is liable for the pmperty taxes on ihe property and that owns the property or is buying under a wntraU.
If buy4g om m�trarl. Fee Simple owners name
Recorders otfice where conUad is remrded
�_-.'"'a_-"�d"�';'f�-�'�:���is��zn3�t�'"a'�-'�hi
Counry ... Tamship
fown, (ownship)
Parcel number I Leg escription �� �� I Is the pro�,
O(q - �3�p`l_�J
H any ponion of Me residential sWCWre w Ihe Wnd not axceeding one (1) aae that immediatety wrrounds that
ot the P�Pa+N utilaeA to produce inmme.
Recard number � Page
question:
Dal property ❑ MoGle Homo (I.C. bt.7-�
g is used tn produce Ncome, desai6e the use and portion
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-w'�e.$£u'3.t.i4,3.'.+�t�usr�F-`�e1�' '? . �,utc"+�.�
20 _ Pay 20
Lesserof t/2 Homestead
vauanon a f35.000 $
Signatura of Auditw � Date signretl
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