HomeMy WebLinkAboutHomestead_Penner (2)CLAIM FOR HOMESTEAD PROPERTY TAX
" CREDITISTANDARD DEDUCTION
t � Sbte Form 5473 (RS / 10-0i )
�b' Presrribed Ne De
by partrt�eM o( Local Govemment Finance
INSTRUCTIONS: See reverse side /or �ling instructions.
I (We) � (��1
I(We) occupied as our principal ce of residence lhe follmving desaibed real property (or which a h
❑ I(VJe) owned ❑ Are buying under contract
� Have a benefidal interest in the entity that is liable for the property taxes on the property and that
I( buying on contrad, Fee Simple ownefs name
Remrders ofice where tontraq i5 rewrCed
Twmship
YVV� 'L��10 I� �L I I P`�' S 3-/a 3.�.�mepro�
If eny poAion of Me reSiCenllal aWcWre w Me Wnd nol eaceeding one (1) aae that immediatety surrounds that
of Ne properly utll¢ed tn praduce inmme.
_ /7-� 9- �oo _�/. 3G/- �i
FORM
HC10
YEAR
=_rti� a[ionJth �1'st� ay� ( M`a�ch, 20_
ea roperty T�ediC15 nereby daimed:
A�'H 2 8 2003
lhe property or is.buying under a contrad.
Rewrd number � Page
queSGon: (/ �
Real propery ❑ Mobile o (I.C. &7./-7) .
ire is used b produte incwne. tlestribe the use antl por�ion
20 _ Pay 20 _ I
Lesser of 12 Homestead
Valuadon or $6,000 $
Dale