Homestead_GreerCLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
` CREDIT/STANDARD DEDUCTION HC7o
� � State Form 5473 (R5 / 10-01) �
��M Presaibed by �he Department d Local Govemment Finance
INSTRUCTIONS: See 2verse side /or �ling insUVCtions.
�(We) �il:L/�L�t�L a�tKX/�� certiy ihat on the 1sl day of March, 20_
I(We) occupied as our principal place of residence lhe following described real property for which a Homestead Property Tac Credit is hereby daimed:
❑ I(We) owned ❑ Are buying under wntract �
� Hava a benefidal interes� in the entity that is liable for the property taxes on the property and �hat owns the property or is buying under a conVaU.
II buying on confracl. Fee Simple owners name
Remrders ofice whwe coniraq is recorded
Couny
H eny portian c
ot Ne proPerty
Taxnship
structure w Ne land nd exceeAing one (1 j acre thel
ice income.
-��/7-`fliD- `/�.�
Remrd number
Ta�ing disUict (ciry, tawn, fownsAiP)
Page
I Is the pmperty in quesGon:
❑ Real property ❑ M11�MI0 Homo (/.C. 67.1-�
wrtounds that swcture is usad W produce income. descrihe Me usa antl portbn
��`'�
�:'�yF . _ ' i�F " S. � �4 � . ri.� +,? �S 'v� � �cs� .. vr�w+^,��aa +t��3•,y£ytX=i.':•a
;����.,,.'���?f*�a����y'c,.�`�#�-i;STANUARD:DEDUCTION'ALLOWANCE,'.��.�P`},�,,,'�,,,,?���--�t:i.,.,�,d� �.'-zcc:,>n.
� 20 _ Pay 20 _
Lesser of 12 Homestead g
Valuation or $6,000
SignatureofNiditw �� Dat signed