HomeMy WebLinkAboutHomestead_Resenbeck^ N� �. CLAIM FOR HOMESTEAD PROPERTY TAX
" ' CREDIT/STANDARD DEDUCTION
S � Siate Form 5473 (Ra / &00)
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INSTRUCTIONS: Sea �evarse side (a filing insWd�i ns.
FORM M Y�
HC10 � �5
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I(VJe) � Si_�� ��[ t�t�J`� 1�4 A_ih_�� cert�that o�n the is[�fM�20_
I�(VJe) occupied as our principal place of residence Ne following described real property for which a Homestead Prop��f� Jditieh�reby daimed:
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❑ I(We) owned ❑ Are buying under cantrad
�ave a benefidal interesl in the entity that is liable tor the properry tazes on lhe property and that owns t prope r i under co d.
. . . � 'iESiSTTt`.75TTr�T�a i ir'i""�n�—
II Ovyinp on wnVact Fee Simple awnets name
Remrdefs ofice where wntract is recorded
RecorO numher � Page
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Cou D TwmsNp 7ating tnG (c fown. rownshiP) 1
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Parcel number Legal descnp6on .
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It a'ry portion ot ihe resieen5al s4vaure or Ne lantl rrot exceetling one (1) aae tnat immediatey surrounds that swUure is used m produce income, aescribe the use and portim
of Ne property utlize0 to Droduce income: - � � - � . - . . �
. ia�/' - //) - 03! - �?Gl�1-D! 3. �/7 Qo� � � , . -
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� �-��e�"�..,Yr�'�,�,?'f�`'`�^__'�l.,.�' '�'^�.^�,'-��•�•�.a'��f=�STQNDAHU:DEDU6TION7ALL'OWANCE�� ,i'y,�',�'�--�„�"+r�`,,,�`,s�'Fa=Ek�`�'.�Af.��t �:r`i�`�'-y.-�_, '
20_Pay20_
Lesser of 1/1 Homestead
Valuation or 56,000 � $
Sgnature otAUditw Date signeC
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