HomeMy WebLinkAboutHomestead_HillCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form $173 (RS / 4-03)
Prescribed by the Department of Local Government Finance
® tNSTRUC77ONS: See renla w main b ADV iwft cdom
FORM ItPEAR
HC70
I (We) certify that on�/ the 1 s�tt day of March, 20
I (We) occupied as our principal ace of residence the following described real property for which a Homestead Property J CrY Mfiereby claimed:
❑ 1 (We) owned ❑ Are buying under contract
' Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is bt ying Under a contract.
'e +.+" ��?ia 'aTia ^sKv'.'sL.r€'-zCONTRACT. °RECORDED'- �ac�t.?,.2�:'zia
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded Record number Page
Township I Taxing district (city, town,
P p.¢j rytptbei ���� I L aI descd i /�
fL /11/ t /(/— I .A /// s party in question:
[Real property ❑ Mobile Homo (I C 6 f -7)
If any potion of the residential structure er the land not exceeding one (1) ace that immediately surrounds that s cture is used to produce income. describe the use and portion
of the property utilized to produce income.
. _... .._ _- _ _ ry
- i?ROP.ERTY;OWNED��BY CLAIMANT;IN OTHER' COUNTIESJr' xi'- F:�_'.�;- tii;'W3.n,'}
County
Township
County Twvnship
I hereby certify the above statements are true, correct and complete.
Sianature ofd ' ant
(number and street, city, state, ZIP
n�
I
20_Pay 20_
Lesser of 112 Homestead
valuation or $35.000
5