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CLAIM FOR HOMESTEAD PROPERTY TAX
�1 STANDARD / SUPPLEMENTAL DEDUCTION
S�ete Form Sa]J (Rt] / t3O9)
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INSTRUCTIONS: Sae revars¢ vde for fJing instruUbnt.
FORM
2012
I(we) Wesley and Erira fGssinger cen:fy Wat I(wa) ocw �.Ay�� 1nf�u1m'r,a i
placa of resiEence or am (ara) Wyi(q the tollowing tlewibed real property 1or wNrh e Homestea0 Pmperty Tax SanEard Ded���sffere yCi1�ABtl
undttcontraponihedateNisapp9�atlonufileE. 1727/2012 (dateWfJing�.I(We): ((yy��^^,,''QQ--''''�_����
QJ pvm ❑ Am (are) D�ying untler retorE¢d conVep C��'� --(\[`�
� Am (are) en4Uetl ro acwpy as a tenant-stxkholder ot a rmperative �ousing wrporaGOn v�
❑ Mave a benefidal in:orest in t�e ws� or Ne rig�i ro occapy Ne property under the terms o� a quatifietl perso�al���UNTY AUI
❑ nm (are) Uie sharenolaer, pariner or memeer ot Uia anury mai owns ine pmparry.
Page
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f(I _ pay 20 _ Lasser ot 60X of the essasseE value o( Na Mmestea0 or H5,000
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na esxveE ea realprysrtY nm e memdac�ueE nm» vuf u mt eve.vW ef nNpcyMY meYnat e.us0
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