Homestead_Walker (16)CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT/STANDARD DEDUCTION HCto
� S1ate Form Sa73 (R6 / L-03)
Presriibed by the Department d Local Govemment Finance
WSTRUCTIONS: See Bvcrsc sidc lor /iling insbuqlons.
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� �e� ' �, c_'!'rti��lhai'onithe�lst�da�f March, 20_
I(We) occupied as our principal place o( residen th fo�lp w,,in�y �described roperty for which a Homestead Property���redit is hereby daimed:
❑ I(We) owned ❑ P,re buying under�ntra��e.� J AN 2 7 UU
� Have a benefidal interes[ in ihe enGty that is Iiable (or ihe property faxes on the property and ihat owns the property oi is buying under a wntract.
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I( buying on contrad. Fee Simple owners name
Remrdefs olfice where conVad is remrded
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County Twnship
H any portion ol lhe resitlentlal structure a the land na exceeding one (1) aae that
ot Ne propeity ulil¢ed to produce iricome.
Rewrd number � Page
Taing district (dry, mwn. townshiP)
Is �he properly in question:
❑ Real property ❑ Mobile Homo (I.C. 61.1-�
wrtounds Ihai sWUUre is usaC b protluce income, describa Ne use and pwtbn
20 _ Pay 20 _
Lesser of 1/2 Homestead
vauanon a 535.000
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