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, CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Slate Fwm 5473 (R6 / FO:ij
Prescribetl by the Department o( Local GovemmeN Finance
INSTRUCTIONS: See reverse side loi liling insvuclfons.
FORM
HC10
YEAR
��e) certiQfh'al a7+the 4sY41�y of March. 20_
I(We) occupied as our principal place of residence the (ollowing d bed real property for which a Ho stead Prope Tae�Credit is hereby daimed:
❑ I(VJe) owned ❑ Are buying under contract ` �
, Have a benefidal interest in the entity that is liable for the property taxes on Ihe property and ihat avns�th2properly:orTs�nEeca contract.
If buying on conirad, Fee Simple ownefs name
Recorders ofice where coniracl is recorded
liany portion ol
of tha properry �
Remrd numEer � Page
Tamship
Legal deuription
� Vy � I �Real Droperty� ❑ Mobile Hwno (I.C. 61.7-� .
sWCNre w the Wnd not esceeding one (1) ave Nat immediatety surrounds that sWqure is used b produce inoome, describe Ne use and portion
ice income.
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