Homestead_Newton�,Nn � CLAIM FOR HOMESTEAD PROPERTY TAX
' CREDIT/STANDARD DEDUCTION
t, j State Fwm 5473 (R4 /&00)
INSTRUCTlONS: See 2verse side for filing instructions.
FORM � YEAR
HC10 �.
�(We) �i( .(/k_. �L l�(.Y�-/ �l,l.C� , / �i�.G �� certify �it dn theisCday�of March, 20_
I(We) ocwpied as our principal p ace of residence the f owing described real propedy for which a Homestead Pmperty Tac Cr �dd is heteby aimed:
❑ I(We) owned ❑ Are buying under contrad
�--lave a beneficial interest in the enti that is liable for lhe ro e taxes on the ro e and that owns tFie �ro�"' �ni!r�bY AI�DITOR
ry p p rty p p rty � pertq or is uying under a wntrad.
il buyirg on conVacC Fee Simple owneYS name
i
Recordefs office where contraG is recortfetl :
Tamship
Parcel number Legal tlesuipti
�OS-O/a5'Y�Z� � %
tt any potlion ot Ue residenfial stmcture w Ihe lantl nol exceetling one (7) acre
of Ne property ulilized to produce income. -� • �
Record numher � Page
7acing tlisUict
�_ 3`_/ a v S r-tc, °
surrounOS that sWCUre is used to produce income, tlescriDe Ne use and pwtion
.. �l T! Y �1 Tf1.