HomeMy WebLinkAboutHomestead_HadleyCLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
} CREDIT/STANDARD DEDUCTION HCio
/ Sta�e Fwm 5473 (R6 / M3) .
Prescri6ed by ihe Department W Local Govemmenl Finance
INS7RUCTIONS: See reverse side !or liling insln�ctions. � \, l ��^�
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I(We) certi(y ihal on the 1 st day of March, 20_
,I�(W,e/)9cc 'ed as our principal place oi residence Ilowing described real property (or which a Homestead Property Tac Credit is hereby daimed:
L4,d (VJe) o ed ❑ Are buying under contract
� Have a benefidal interest in the entity that is liable for the property taxes on the properry and that owns the property or is buying under a wntract.
I( byvg om m�uaq. Fee Simple owners name
RecoNels otfice where conVaIX is recorded
County � Tamship � T�cing distritt (city,
Record number � Page
Parcel numher L al de �plion Is the property in q Iron:
�n s- o y y 3 I-�d �� � �j� �„a�� ❑ Mobile Homo (LC. bf. f-7)
N any poAion of the resitlenllal sW aura w the land not exceed�on9�) aae that immed"utey surrounds that sLUCture is used b produce income. tlesaibe the use and portion
ot the properry uliiized tn praduce inmme. (J\
- /7 ,�/-�300 - �'��3 /—O�./
�X�_ �iG���.{��:�'���STANDARU_DEDUCTIONALI:OWAlICE*'�,+��„�-.�,`�,'.:��,��.*,��s-u.�iysiiy�� `' �'- � x"'�'t
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20_Pay20_
Lesserof 1Yt Homestead
vauanon a 535.000
5
Sgnature of AudHw � Date sgnetl