Homestead_ReedCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Stete Form 5�73 (R6 / 4-03)
Prasaibed by Ne DepartmeM ot Lxal Govemment Finance
INSTRUCTIONS: See rereise side lor filrng instnictipn,5,
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I(We) certify lhat on the 1sl day of March, 20
I(We) occupied as our principa ace r idence lhe following described real property for which a Homeste�{�Qpp�lyfi��it is hereby daimed:
❑ I(We) owned ❑ Are b g u der contract
�� Have a benefiaal interest in the enL Nat is liable (or ihe property taxes on the property and ihat owns the��o� a��ying under a conVaU.
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I( byvig on contraq, Fee Simple ownefs name
Recoiders affice where wnVaC is remrdeE
County To.mship Tating C' " o [
�a(��'�(/-7/�/ /�1� Legaldascriptlop Is.the.Dro ertyin
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H any potlion ol lhe residentlal sW cWre or Me land not exceetling ona (1) aae Nat immediatety wrrounds that s
of the property utirzed b praduce i�ome.
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County Twvnship
I hereby certi(y ihe above sWtements are We, correct and compiete.
Adtlress (number and sLae(, cey, stafe, ZIP codo)
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County
47c�,�5
Rewrd number
o�oaem , ❑
used b p�oduce u
A
Page
'.C. 61.7-7) • .
1he use and portbn
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