Homestead_MitchellA�� � CLAIM FOR HOMESTEAD PROPERTY TAX
� � CREDIT/STANDARD DEDUCTION
` � Slate Fwm 5473 (RS / 10-07)
���� Prescribed by Ihe Department of Local Govemment Finance
INSTRUCTIONS: See reverse side Ior (ling ins(ructions.
� Y' � �
- �� �� E R
oRM-' `": - -
Hq�o` nn �
� � �
f
�(�'�e) �C��/����,�rl�cvx+' certi(y Ihat on the 7st day of March, 20_
�e) occupied as our principal place of residence the following descnbed real pmperty for which a Homestead Property Tac Credit is hereby daimed:
I(We) owned ❑ Are buying under contract
�Have a beneficial interest in the entity that is liable for the property taxes on the pmperty and that owns the property or is buying under a conVact.
If buying om m�uad. Fee Simple owners name
RemNets olfice where conVaq is remrdeE
£����- .r..,.�..;;;::�.ti•s^'.:.e�k�... x__:
'�.`.�.w.x�.�,:7 �..u..7 a. : �=vt�
County _ Township
QD� O�d /a =c� I
If any portion ol Ne resitlential sW Gura w Ne
of the property utilized tn produce incoma.
land 26t exceetling one (i) acre ihat
=�9-��-aay,
Rewrd number � Page
tawnship)
Is the prop�(y in question:
� �Real DropeM ❑ Mobile Homo Q.C. G7.7-7)
wrtounds that sWCWre is used m produce income, descri6e tha uu and portion
a/� _ �
` ���'�'�'..���.�"mr�c.aT'Yai.Y� :�'�;�'`��'s STANDARD,'DE�UCTION'AL'COWANCE�'=��'�'k:.i�r'��;�:••"'=�`3�_i�+r'°�'..�:���+,'���'._:E
.-�._ . �
20 _ Pay 20 _ .
Lesser of 1/2 Homestead �
Valuation or $6,000 S
SgnaWre olAUdHw Date signed
C