Homestead_Wood (5)rt� ; CLAIM FOR HOMESTEAD PROPERTYTAX
` CREDIT/STANDARD DEDUCTION
S j State Fwm 5473 (RI I&00)
�.�.
INSTRUCTIONS: See reverse side for filirg insWctions.
FORM - � YEAR
Hc,o � p b 3'
I(We) /
g described real property for which a Homest�c Property TaYC�dit is hereby daimed:
❑ I(We) owned ❑ Are buyinq under contrect ` n// /n/ ///�
�-lave a benefidal interest in the entity lhat is liable for the property taxes on the property and that�oivris_!he'pr~opedy,oi-is'btyring-cu�d"er a contrad.
II biryirg on wnUaq, Fee Simpie owners �me
Coun Township
Pa u��a(IOQQ ���. LegaldesaipGOn
� /
If any portion ot Ne residential s WCure w the Wnd not exceeAing one (1) arre Na1
o( the property utilizeA to produce inwme.
County I Twvns�ip �
I hereby certify lhe above statemenls are true, corred and complete. _.
A�a� (num6er and sireeL tlry, stare, ZIP cade) ' �n
� i �2 � /. 1 �wT-rt1/lltl..f' �9
-_ I Recortl number � I Page
Tacing
surtounds ihat struGUre is usetl to produce income, describe the use aM