HomeMy WebLinkAboutHomestead_OnealCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Fonn s�t73 (R7 � s-On
Prewibetl by the DeperUrent af Loral Go✓ertur�K F6ance
� INSTRUCTIONS: See reverse side tor filing insbuctions.
� FORM �
HC10
�, � ���
I(We) ''Y— l (_/ �/ certity that on the 1 st day of March, 20_
I(We) occ� ed as our prindpal place of resid ihe fo0owirg desaibed real property fw which a Hanestead Property Tmc t is hereby daimed:
', � cwe) ❑ ae buye,y u�aer ca,aaa �/!aQ ��
/ Have a benefidal inferest m the entry Ihat is liade iw ihe propeAy taxes m ihe ��g.��&LLNTY AUDITOR
pfoperty and fhat wms is buyu�g urMer a contract
tt dryug om m�traG. Fee Simpa ownara name
rtemraers alfi� whae cumaa is recaam
yd. r„ ra 11:: a�a.r,� ��;�.:.�£E
� � h�..�?!!i Fi{#x�i�. .,ns£f�?v�.`�'il:�s'5��."��<w,.b1u..,:._
CamH TurrmbO
Parcel rcunber I Legal desaiPUon
JL_i -�-U�d-S`UO
Recard number � Page
Is ihe piopaty in quesUOn:
� Reel poperry ❑ Mobile Fbme (LC. 61.1-�
If aIry portion d iha ragiderrtial sNxArte a Ure Imd nol omeeding ona (1) ave U�al'vnme6atey surtounds Ihat 9nchrte is used b pmduce'vxane. tle�Me iha usa and Pm�n
d Ihe pmparty uGf�d b prod¢e'vimne.
or��-3��-a�.�
_ „ -,� , _
Townahip
I hefeby oertify the above siatements aie We, carect and conple6e.
(nuMer end ahee4 dA: 9ate. LP aode)
v3 y7 0
Township