Homestead_Merrelln.
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Slate Fwm 5473 (RB / 40;i)
Prescribad by Ihe Departme�rt ot Lacal GovemmeN Finance
INSTRUCTIONS: See reverse side /or �ling instruc(ions.
FORM
HC70
YEAR
��e) � certify ihat on the 1st day of March, 20_
1(We) oaupied s our principal pla of residence the following desaibed real properry for which a Homestead Property T� Credit is hereby Gaimed:
�(We) owned ❑ Are buying under contract
i Have a benefidal interest in the en6ty that is liable (or the properry taxes on the property and that owns the property or is buying under a wntract.
If buying on conVaq, Fee Simple ownefs name
r�cobers o�ice wne�e canvaa �s remraea Racord number Page
- . ., .. _... _ _ -
"�"��''��'z'�"'i•�k�i``'.i,�'rs�tis�".a.i��,ra'�'-s..-}a3W.�.F�-,•��F,ROP.ERTY,:OESCRIPTIONP.`��"�'�;a'rlf.�?¢�.^_°i�"`.�`x.-•R'i'p�'"`u',?'�t"r���'4'T.s�.:._�r --
' _ .."�S'
CauntY Tawnship Tatin OiSUiU (Gry, fown, township) " �
Parcel number Legal tle 'ption Is Ne prope in quation:
� �l `l � N � 3.G- �-I ��.� o ��, H�,o ��.�. �.,.,-n
N any portion o1 Ne resiEentlal strucWre w the land not esceedinp one (1) acre Nat immeCiatey surtounds Ihat svu e u used b produce income, Cescribe Ne use anC portbn
of ihe property utiize0 b produce income.
5/,.366aQ .
� ��- /o -a3/ ��a-��G� a�-/ �
�4����?.sS'�'�::zl`�'?�'�:�ru"�$tcw��`!+"c�'�-Ew:!^'""�.ss."�STANDARU:OEOUC'TION'AL'C0INANCE...��",�+;.,�:;-„t1_x_,� -�'xy�,.>e..z��.r`�r�"•?�=�,i.��"_'n-�..: -�
�. 20 _ Pay 20 _
Lesser of 1Y2 Homestead S
vauanm a E35.000
Sgnahue af Puditor � - Date signea