Homestead_MorganCLAIM FOR HOMESTEAD PROPERTY TAX �
CREDIT/STANDARD DEDUCTION
Stete Form 5413 (R6 / 4-03) � �
Prescribed by the Departmem o( Local Govemment Finance
INSTRUCTIONS: See rarerse side /or filing ins6uctions.
FORM �� YEAR
HC10 �1
1
��e) ���� �� � certi(y thal eh-t�ie 1Ql a9y¢u ^bf8rch, 20_
I(We) occupied as ur principal place o( residence the foliowing d 'bed real propeAy for which a Homestead Property Tac Credit is hereby daimed:
❑ I(We) owned ❑ Are buying under contracl �%(a� �Q
' Have a benefidal interest in the entity that is liabie (or the property taxes on the property and that owns thq��g� �r�t��iQg��r�$H ntract.
I( buying on contraq, Fee Simple owners name
RecoMefs ofice where wnirad is recorded
a
��'-'��ia' � �� ��'-�'��. �-."'^'s-'��d��� 9P,ROP,ERT}
h Tamship
�
�a(�� � r � al E ript'
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N any portion of ihe resitlentlel sW ctura w the Wnd not exceeding a�e (1) a e Nat im
ot Ne Oroperty utilize0 tn produce income.
a -i � a9-
'�;�'�e�"'s�-�-`.'�i��" �.�?��"��PROP.ERTY OWNED�;BY CL
County Twvnship
I hereby certi(y ihe above statements are W e, wrted and complete.
i
AQdr (numberaMStmet,ciry;sfate,ZlPcode)
Ta�ing distric
�(.�C�l fs Drop
liatey surtqu�dyhat !
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MANT;IN,`OTHER"f
Couniy
i n Nre of claimaN
Sil�l�P. T�J
Recard number
question: V
�Qal DroCenY ❑ Mob�
�e i5 use0 b produce income,
s=
Tavnship
Page
1he use and portbn
20_Pay20_
Lesser ot 1r2 Homestead
vauanai w 535.000
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