Homestead_Fauquhern.
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
SWte Form 5473 (RB / {-03)
Presaibed by the Department of Local Govemment Finance
� INSTRUCTIONS: See reverse side lo� �ling insWCtions.
I (We)
I(We) ocxupied as our principal place oi residence the following described real property�r which a Homestead Property Tac Credit is hereby daimed:
/
I(We) owned ❑!ve buying under contract `/��
Have a benefidal interest in the entiry Nat is liable for fhe property taxk} on the property and that owns the p�pe5ty�r isTpuying�nder �cv�act.
V
FORM
HC10
YEAR
Y l( � certify that on the 1st day of March, 20_
I( buying on wnVaq, Fee Simple owners name
Counry
of Ne
contractisrecarded
To.mship
A I.�' �(���� au�P�nl W I- �
+pdenilal strucNre w Ne land not exceedinp one (1 � acre thet
tu C�oduce income.
RecorA
T��B
� I Is the pmpert�y iA�question: // �{ n
axea� propem V ❑ Nwbile Homa W C. & 1.1-
mediatety surrounds Nat sUUCNre is used b produce incane, desaibe the use and portbn
�.(�0.G .
�_ �l -/� D/-/ao-6o% �9.�t-Q� I