HomeMy WebLinkAboutHomestead_Wright (20)� CLAIM FOR HOMESTEAD PROPERTY TAX
• CREDIT/STANDARD DEDUCTION
� State Fortn 5473 (R6 / 4-03)
PrescriDed by Ihe Departmenl of Local GovemmeN Finance
INSTRUCTIONS: See reve�sc side !or liliny Insfiuclions.
O�
��\
FORM
HC10
YEAR
y/s
��e) certify ihat on the 1sl day of March, 20_
I(We) ocwpied as our prin al oi s ence the following descri d rea property for which a Homestead Property Tac Credit is hereby daimed:
❑ I(We) owned ❑!ve buying under coniract
`' Have a benefidal interest in lhe enfity that is liable for the property taxes on ihe property and ihat rnms the property or is buying under a wnVac[.
If buying on conVad, Fce Simplo owners name
Remrdefs oifice where contraq is recordetl
Couory
Parcel
Tnmship
If any potlion of Ihe residential sW cture w the land not exceedinp one (i J aae tlial
ot the properry uWaed m produce ifrooma.
Recortl numher
(tiry, t�. townshiP)
Page
I Is the property in question:
❑ Real DropeM ❑ Mobile Homo (/.G. 61.7-7) .
wrrounds that swuure is used to produca incwne, dewihe the uu and portlon
��"�'`�z�'ro�����_����'�'�?PROP.ERTYOWNED'�.BYCLAIM.4!(TIN!OTliERCOUNTIES�,.,�.��' : �. ,,. `'
°." z....t< _ �a3�' �'..�51���'�'�`" r�=-"�'_ee�*�
Caunty Tavnship � County � Tavnship
I hereby certify the above statements are We, coved and wmplete. Signawre of claimant
ddress (number aM street, city, state, ZIP code)
=s+. � ,r. :e, _ :, " . �„_1R`r 1 �r`:4. �'^i- 'i=' -a � .ra�+i✓.xEfi. "'i a�v
'" � . -"��,a�js�:�n`�.,��,:ySTANDARU�:DEDUCTION'ALL0INANCE,.;�xt-:.s�C��:_�{u-"—,'`,�^tu"�.`-`�."�,;��.,,�x�s•.�y,...�
: n.�
. 20 _ Pay 20 _
Lesser of 1Y2 Homestead S
vauanon or E35.000
Sgnature of Auditw ' Date signetl