HomeMy WebLinkAboutHomestead_Hoskins (2)CLAIM FOR HOMESTEAD PR OPERTYTAX
CREDIT/STANDARD DEDUCTION
State Form 5473 IRS 14-03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for Filing Instructions.
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FORM
HIC10
YEAR
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I (We) occupied as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
D I (We) owned ❑ Are buying under contract MAY 1 0 2005
1 Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the prq4-gy or is buying under a contract.
If buying on contract, Fee Simple owner's name
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number I Page
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PROPERT.YOESCRIPTION,7.z',';'--
------
County
Township
Signature of claimant
Turing district (city, town, township)
Pilncal number
01 16-00143-Co
L&gal dejori'ption ej
t
I Is the property In question:
C:1 Real property ❑ Mobile Home (LC. 6-1.1-7)
It any portion of the residential structure or the land not exceeding we (1) am that immedikety surrounds that structure is used to produce Income, describe the use and portion
of the property utilized to produce income.
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County Township
County
Township
I hereby certify the above statements are true, correct and complete.
Signature of claimant
j6draim (number and street, city, state, ZIP code)
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MA' ASSESSOR USE ONLY W� 5
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-k-b,VALUE
2-HOMESTEAD-1,
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�','�'�,NON'-RESIDENTIALii;-,
7
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Land not exceeding acre I (one) immediately
surrounding residential improvements.
a
Other land
(2)
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
Residential improvements or Annually
Assessed Mobile I Manufactured Home
Garage
improvements
(6)
.90er
Total Improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
I hereby certify the above is true, correct and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
-W.-A-1 �STANDARDJDEDUCTICNALLOWA N CE "
j0 -1 %, 1 1- "
20_ Pay 20_
Lesser of V2 Homestead
Valuation or $35,000
$
Signature of Auditor
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signed
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