Homestead_Walden (4)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
S1ete Fortn 5173 (R6 / 4-03)
Reaulbed M the Departrtro+rt d Lxal Govemrtant Finarroe
INS7RUCTlONS: See reroerss dds b Pip iubue8'pa.
� C
�
�M YEAR
Hu 10 �
SEP 0 1 Z006
��e) certiryth o, the 1Os�day ot Atdaic�hT, 20
I(We) occupied a r principal place of residence the following described real property tor which a Homestead Pro�pert�j� T� Ci'��� is hei��by �a�med
�Je) own ❑ Are buying under cont2ct �
� Have a benefidal interest in the entity that is liable for the property taxes on Ihe property and ihal owns lhe property or is buying under a conUaU.
I( buying on conVap, Fee Simple awnefs name
where conVacl is recorded
County
Parcel
Tamship
Legal
N any portion o� Ne residential sWCWre w the land not
of the properry ut�ized ta produce income.
ag� �
Record number
(ciry, rown,
Page
/ -�r-/U . US�
Is the pmperty in question:
��� ❑ Real property ❑ Mobile Homo (/.C. 61.1-�
(1) aae ihat immeCiatery wnounds Nat sWCNre is used to produce inmme, describe ihe use and portion
20 _ Pay 20 _
Lesser of 1/2 Homestead
V81�etOn a f35.000
$
�i-dS�