HomeMy WebLinkAboutHomestead_HerronCLAIM FOR HOMESTEAD PROPERTY TAX
-° ' CREDIT/STANDARD DEDUCTION
t � Shate Fortn 5473 (RS I 10-01)
••" Presmhed by ihe DepaNneM of Local Govemment Finance
INSTRUCTIONS: See reverse srde /or filing insfnicfions.
7 F�ORAA
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AP R 1 "1 2003
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YEAR
I(We) .,✓certity�Uiaton�tlie �1sf day of March. 20_
I
9 P P�h/ . . Pe�h' Y
❑ I(We) owned ❑ Are buying under contract �
. Have a benefidal interest in the entiry Nat is liable tor the property taxes on the properry and ihat owns the propeRy or is buying undar a wntraG.
I( buyirg on conUaq. Fce Simple ownefs name
Remrders afica where contraq is recordeA
Counry
Tamship
Tacing AatriC (tlry, fown, fownshiP)
Record number � Paga
'�� � I L I Qe lion � I � I Is �he property in queSGo�:
Z 4 ❑ Roal proporty ❑ Mobile liomo (I.C. 6f.t•7)
idenllal aWdu�� not�e (�ae Nat im' iately wrtounds ihat swcwre is used to protluca inmme, desuibe d�e use and portlon
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