Homestead_LeeCLAIM FOR HOMESTEAD PROPERN TAX
� ' CREDIT/STANDARD DEDUCTION
t .� Sfate Fortn Si73 (RS / 10-01)
°Y Presaibed by ihe DepartmeM o1 Local Govemment Finance
INSTRUCTIONS: See reverse side /or filing insfrucfions.
FORM
HC70
YEAR
�(WQ) � cerEf�ihat-Ein th�st day of M ch,
��
I(We) occupied as our prindpal place oi r ence the following descnbed real property for which a Homestead Prop,�{� T�c Credit is here daimed
❑ I(We) owned ❑ Are buying under contract /� A rR � 8 2003
� Have a benefidal interest in fhe entity that is liable for the property taxes on Ihe property and that owns the property or is buying under a contraG.
I( byMg on conirap, Fee Simple ownefs narne
Recortlers olfice where contraa is recorded
County
Tamship
N eny portion o/ the resitlenUal strucWre w the
ot Uie property uLT¢e0 in produce itrcome.
County
Record number I Pa9e
Tming dislrict (dry, fown, fownship)
! Pi7( � J'��� �i r Is Ihe vmperty in question: (.
❑ Real Droperry ❑ Mobile Homo 1 C. 61.7-n .
ezceeding ane (i) ace tliat immediatery wrmunds �hat sWCNre is used b produm incane, describe Me usa and ponion
I hereby certify the above statements are W e, coneIX and complete.
Toxnship