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e�' � CLAIMfOR HOMESTEAD PROPERTY TAX
lE�� CREDITISTANDARD DEDUCTION
�y .;;� State Form 5473 (R2 / 5-92)
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INSTRUCTIONS: See �eveise side for /iling insfruciions.
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� (we) 7' � V� Ah
�e) occupied as our principal.place of residence ihe tollo� " eai properry for which a
� I(We) owned ❑ Are buying under contraci,
❑ Have a beneticiai interesi in the eniiry thai is liable for the property taxes on the pro , ;a(ip`,[li
FORM
HC70
YEAR
on the 7 st day of March, 19_
�rty Tax Credit is hereby Gaimed:
undeca contract.
- -� � CONTRACTflECORDED. - - �
Ii buying on contract. Fee Simple owner'sname ' � - ' . . , .
Recortler's oNice where comraci is recorded qecortl numher Page
tii� i —
If any portion of
of the pmpeny i
/ - Township
Legaldes
�
iden6al stmcNre or the IarW not
Io produce income.
PROPERTY DESCRIPTIO -
• Ta�cing dis ct ry, town,
i. �i �,
(7) aae that
'�( — / l`J . /� /�'" ,
� surwunds thai s[ruaure is used to produce income, descnbe ihe use and portian
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE -
Land not exceeding 1(one) acre immediately
surrounding residential improvements. (�� �
Oiherland (2)
Total land (line 7 plus line Z� (3)
Dwelling (4)
Residential improvements
' Garege (5)
Other improvemenis (6)
Total improvements (line 4 through lina � (7)
Total value (line 3 p65line � (g) I
I hereby CeRify the above i5 tme, tOrre[t, and Signature of Asseswr Date signed
complete.
Verityirg action - Signamre oi Autlitor Date signetl
�
� - STANDARD DEDUCTION ALLOWANCE - -
19_Pay19_
Lesser of 1/2 Homestead �
Valuation or 52.000 S
SignaWre of Audimr Date signed