HomeMy WebLinkAboutHomestead_White (17)�* . CLAIM FOR HOMESTEAD PROPERTYTAX
' CREDIT/STANDARD DEDUCTION
`y p Spte Fortn 5473 (R4 / &W)
INSTRUCTIONS: Sea reverse side /or filing inshuc6ons.
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� FORM�-� � � YEAR
QUU CU� � 20� �
I(We) _��,1X�.�R.. n oLD�SY�J� T i certify that on the 1st day of March, 20_
I(We) occupied as our principal place ot residence fhe following described real property for whirh a Homestead Property Tae Credit is hereby dauned: -
�I (We) owned ❑ Are buying under contrect
�lave a beneficial interest in the entity that is liable for lhe property taxes on the property and that owns the property or is buying under a conUact.
If buyirg on contract Fee Simple ownets �ame
Counry
Parcel number
contraa is recoraeE -
Tamship
Legal Cesaiption
7a<jqg aisirict (ciry, rown.
l� •
T i . �. r e
Record number I Page
If any porGOn of Ne residenUat sWCWre w the land trot exceeding one (1) afxe Ihat immediatey surtounds that sWUure is usetl to produce inmme, describe Uie use and portion
ot the properry utiiized to proEUce income. � . .
, " �' 2q�, a.: g� �'�- '?�. "" �=#%'STFWDARD:DEDUCTIONALLOWANCE�,:?��'��� � `- '
- t?�`'�-�i�..2c%:.��'.,.�rx•�i'�:?-.:.-e,n: s._ bt b...`7.,- � .� .<z�,r�c'>is:°y.��ur:.�
. 20_Pay20_ ' , -
Lesser of 12 Homestead
Valua6on or $6,000 S
SlgnaNre otAUditw Date signed
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