Homestead_Marsh�. , CLAIM FOR HOMESTEAD PROPERTY TAX
' CREDIT/STANDARD DEDUCTION
j S1ate Fortn 5473 (R6 / /-03)
Prescribed by Ne Department o( Local Govemment Finance
WSTRUCTIONS: See revcrse side lor liling inslmc(ions.
1 1/ �
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N 0 V 2 3 2004
I(VJe) certify tha on t�@Q��J �
I(We) occupied as our principal place of residence ihe f wing descnbed real property for which a Homestead Property Tac Credit is hereby daimed
❑ I(VJe) owned ❑ Fve buying under wntrac
� Have a benefidal interest in the entity ihat is liable for ihe property laxes on the property and fhat owns the property or is buying under a contract.
11 buying on conVad, Fee Simple ownefs name
Remrders ofice where
Tavnship
.'JD� �030//- ao I�
If any poAion of Ne residenlial sWCture a Ne land
of the property util¢ed tn produce income.
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%'-�—/iS .CX1/I`P
one (7) aae ihat immediatey wrrounds
Rewrd number
Page
iquestion:� �
Real property ❑ Moble Hwno (/.C. 61.1-�
ire is used b produce income, describe Ne use and portbn
20 _ Pay 20 _
Lesser of 1/2 Homes;ead
vaivanon or S35.W0
oF fwdrtw
S
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signed