Homestead_Overton (2)CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT/STANDARD DEDUCTION Hcio
Steta Fwm 5r73 (R6 / d-03)
Prascribed by the Departrnatrt of Lxal Govemment Finance
INSTRUCTIONS: See ieverse side /or Riig inshucfipns.
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��e) certify that �� 1i d�Y�J�i75rch. 20_
1(We) pied our principal place oi residence Ihe following described real property for which a Homestead PropeAy Tac Credit is hereby daimed:
I(We) owned ❑ Fve buying under contract `v�'j'�
Have a benefidal interest in lhe entity that is liable for the property taxes on the pmperty and that owns the�p���e o�r iOs�Ny��9�DITOR nUact.
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If buymg on conVaq, Fee Simple owners name
Recoiders afim where conVacl is remrded
����ess�3th�"-�' :�Y`,h����r �`�Y��
Couniy ; Tpvnship
Parcel number
Legal description
Record number � Page
7�ing districl (UIy, fc
Is ihe D�operty in quesUon:
� Q Real pmperty ❑ Mobile HOmo Q.C. 6iJ-�
If any portion o/ Ne residenUal atrudure or the land not exceeding ona (1 � aae that immediatey wrrounds that sWCfure is used W produce income. desuibe the use anE ponbn
of the properry uGl¢eC to produce income.
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20_Pay20_
Lesserof 1Y2 Homestead $
ValuaUOn or E35.000
Sgnature of Aud@w � Date signed