HomeMy WebLinkAboutHomestead_Hayes E Gn.
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Fwm 5473 (RB / {-03)
Prescribed by Ne Departmenl W Local Govemment Finance
INSTRUCTIONS: See reverse side /oi (ling instrut(ions.
� (we) L%L!/YY.I�f.C�. f
I(VJe) occupied as our pnncip I place ai residence following described real property for which a F
❑ I(VJe) owned ❑ Me buying under wntract �
= Have a benefidal interest in the en6ty that is liabla for the property taxes on the property and ihat
II buying om m�uaq, Fee Simple ownefs name
Remrders of4ce where conVaa is recorae0
County
H eny
of Ne
Tomsttip
� l� I �% ( �W
itlentlal sWGUre w the land nd axceedinp one (1 � aae ih
tn Woduce ixome.
_ GJ'!� - /U'`a'� - �OU - CXJ 7
, -�= �- - _-- - - -- -
'_:t' ,4;�-�.i� �_z�£�-=��?"-=€1��-a'�'�RROPERTl;OWNED
County Tavnship
1 hereby certify the above statements are We, corred and complete.
AQ�dre§s(qNmbgr�er� sheet, tity, aYale, ZIP code)
7ating EistriCt
FORM YEAR
HC10 �
oh� fsY�a�yof March, 20_
e�ty T Credit is hereby daimed:
� Ys,q�yj�gy� er a wntract.
Record number � Page
�'� pyReal property �J Moblle Hwn6{LC. 6f.7-�
;urrouqd}�at swfc%we in used b produce inmme, describe Ne uae and ponbn
(o"d'r.x
20_Pay20_
Lesser of 1/2 Homestead
vauaua� a f35.000
S
� ����%G� �� �
_ :_.