HomeMy WebLinkAboutHomestead_WhittingtonCLAIM FOR HOMESTEAD PROPERTY TAX �
- " CREDIT/STANDARD DEDUCTION ' '
♦ .M � State Form 5473 (RS / 1P01) - � .. . . . . �
Presaibed by Ihe DepaM�enl of Local Govemmenf Finance
INSTRUCTIONS: See reverse side !or �ling instructions.
FORM
HC10
`.-9
YEAR
I(We) � 4/ certi(y ihat on the 1�ttYdy � Mar�f4!�29_
I(We) occupied as our principal place of dence the following descri real property for which a Homestead Property.Tac Credit is hereby daimned: /�
❑ I(VJe) owned ❑. Are buying under contract . � �%�` J/�� 1! I/
',2 q ;u�._ty�_.Lt�
iHave a benefidal interest in the enlity that is Iiable (or the property taxes on the property and that owns the propeity4or_is buying;under:a,contradi �
If buying on coniraq, Fee Simple ownefs name
Remidefs oifice where conVaG
County
Tavnship
! Jo[V T"W
H any portion of 1he residenUal eWcture w the IanE t exceeEing one (1) acre �hat
ot the provertY uhl¢ed fu produca i�ome.
Record numDer � Page
Tacing tlisVict (tity, town, townshrP)
Ne property in ques6on:
❑ Real Droperty ❑ Mobile Homo (I.C. 67.7-7) .
�ds Ihat swcNra is usetl to praduca incame, descnbe Me use and poNOn