Homestead_Zenthoefer-_ � CLAIM�FORHOMESTEAD�PROPERTYTAX
CREDIT/STANDARD DEDUCTION
` M State Fortn Sd73 (R6I4-03)
� Prescribed by the Departrnent ot Local Govemment Fnance
i � INSTRUCTIONSi See �everse side /or (ling inshvcUons.
FORM
HC10
I(We) 1 . \ rti th on th d of rch, 20
I(YJe) ocwpied es our prindpal place ot residence the following des real property tor which a H ste e reby daimed:
�I(We) ovmed ❑ Pre buying under conVaci � J UN 3 0�005 .
Have a benefidal interest in Ne entiry Nat is liable tor Ne proparty taxes on the property and ihat owns the property or is uNng under a conVecl.
a .Q�
it`�.'�rii_'�z��";="s.T.-r`�'�-NaT'r�i�*�tar�r..�s:''s:'txn .>-ti51..4s.'�'1k`S..Y�...:CONTRACT.RECOROE�::':: r.: :, �.>- :.�:�.. /�,t..:..�.. ..,...� -:,..;.c
I( buylnp on coMraq, Fee Simple owners name
Recorders office where contreC is recordad
Counry
number �Page
^.Ki':'-P s . �`�'2'=; -x?P.ROPERLYeDESCRIP-TIONTi;_ �_'fl�' •. :.. �.� . a
Tpvnship Tac'ug district (ciry, town, township)
�J 9 ��) Legal 'pt' Is Ihe property in quesllon:
/ T Y �`� ❑ Real property ❑ MobOe Mome (LC. 51.1-7)
�identlal strudure or Ne la no exceeding one (1) e t immediatey surtounds Nai sWCtura is used to produce income, describe Na use and portion
to produce income.
�
�