Homestead_MahoneyCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
S�ta Form 5173 (R6 / 4-03)
Prescribed by the Departme`rt d Local Govemment Fina�e
INSTRUCTIONS: See rererse side /or filing inshurlaons.
FORM
HC10
�
YEAR
�
I(We) rli t e t day ( M ch. 20
I(We) occupied as our principal place of si ce Ihe follmving described real prop rty (or which a om stead Property T�c Credit is hereby daimed:
❑ �(we) owned ❑,4re buying der contract JUN 0 7 2006
, Have a benefidal interes� in the enGty that is liable for the property taxes on the property and tliat owns the Qroperty or is buying under a wnVaU.
I( huying om m�Vaa, Fee Simpla owners name
ofite where wniracl is
7nvnship
H any portion of Ihe residential sW qure w Na land not e
ol the proDehY uliI¢ed W produce income.
�`,�,/�'-D %�4,3-
� � :'_� ,�� ', - h'''. . 3 ��. z z , .�--'s �� � F I
Counry Tavnship
Record number
)/� Is the prope in uestion: (�
r w �— 3—/� � P�o�� �
one (1) arre Ihet immediatey wrtounds ihat swcture is used W produce
r
I hereby certify the above sWtements are W e, corred and complele.
mrd sfreef, ciry, sfate,
CouNy
clai�ant
Tavnship
Page
n.a s,.,-�
> the use an0 poNOn
20_Pay20_
lesser of 1/2 Homestead
vaivauon w 535.000
5
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