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Homestead_RitterCLAIM FOR HOMESTEAD PROPERTY TAX CREDIT/STANDARD DEDUCTION smm � sar.� �n i saa� Resaba0 by tlie Depe4nent of Laol Govermad Franoe INSTRUCT70NS: See ieverse side /or fiimg instructions. � ( FORM HC10 I(We) cerfiN tl�`�'yP Ihe 1 st da of March, 20_ I(We) ocw ' as aa Prv�aPal Pla�e oi residence the fo0owing desrnbed rPal poperty fior which a HanesteedSO pa�� haeby daimed: �i �) � ❑ � �g �g ��d �IB N COUN7Y AUp170R Have a berefidal mterest c� the entity tliat is liade fiw C�e propeA�r tmces m the property ard Mat ams the {xoperty or is bu�mg under a contrad. �!�-� � •�.'., hi .�_,;:.;�., �c..CONiRACTt1�CORDmi'n'.`(/.` . �a:� : �r. s.t . �':q� r 1�.:�r�u'?i ��`�-:"«<��,�,s. M Wy'�g on mi4a1. Fee Sirtyle owrefa rmme '. ftemrdela o15oe W�ae m4ac1 is remded Remrd numbar Pepe . Tartdip ESCRIPT70fi�'J:�;2::.'r ".'�. �:`''• ,i� Tmeg di�riY (dy, hnm, towns/dp) ����/'� � l/«/ Legal �' _. I Is Ne �ii queslion: ,�� � a �� Reel ProPerb ❑ Mabik Home (LC. 6/. t-� Marry portion aF �ideNial sNChue ar Me Im�d nal m¢eaduq one (t) aoa Mal'mrredamely amm� Ih� �e is uaed b P�� i�aome. dexibe the �ae and pvtion dttre p�operly Wif�d to pmdme'uwane. �-� � �. I�-a-�� a.� 4 p ,_.. � ..._. . . . ._ _... . . . .... ...� r ' wt n ruvn�, �s F,�a . . � ...-q: .. .�':":i .�'''..�.H+f,�` .'•'. �?;'PROPEitTYOWNm�BY:Cl11OlANTd�OiHHtCOIlNTIESt-ta:�''• . v�}?.;.�.;.,%'....asfi,.a,._.ss.r�-.'M�� Counry Tuvnahip Counry Taw��ip � hereny �artify a�e a6we sa6ema,ts me we. correa ar�e conplem. �'�"a °f `�1R°n° � .._ . (nurDer erd street �1: �. Z� oode) � '- f' �.� � 7+ 9.,`/'�'i� '� Y -� x� ASSESSED VALUE i HOMES7fJ1D� h J�y � .. ��' � � i ` � USE ONLY , `., p �'.',e�'� } i Y/LLUE; .� . ' 'AT 100X OF-iTV � �.: y�y/iLUE..:.,,�y : : -��ii� XONj V�RES � ����n ..�.tt' ...f.,...,�, ., ....��. 4... ., n'4. ....._.. �.,..< .. :_..,..... .. ... . Land nd e�ng i(one) aae i�affiy �,jS'�t���`�;.�� ��Jk� �' y�� �' (}'��� 5�mo�mdirlg(e5ideflh2limproverr�en�- ��� ,�s,s�.�.,�•��t3"�t �'!?;�4}.`fi �a'��-<i�i Q�i� bl Y ^ �V F�A� .!� f�. . (L) 9� 4[ � .:LI` (.....{ Y'Y� tN TU� lard (I'oie 1 pku 6te � (g) �tC F`Y lF:- i�'.t'�' � 1F Y=fif� Y i ResdentialcnprwemerdsaMrwaJly �� (4) 3 ���.i��aY�.�a'�'�r�'�.���'i',:��,�� Assessed Mohae r Alanutameed Hane '�'� r �=,i:�,,7 ,,� + c;,, +=4" . ��e �5) :'7`��1��§'��Z��:��F}�i�y( l 1i Otl�erimpiovements (6) } : '•`'� ?;* .:e:-'+�Y �:'S : �- T� 'vnprv.�ernents (!ne 4 Woirtjr 6ne 6) (7) Ti�l value (I"vre 3 pds 6ne � (g) I hereby aertiy tl�e abwe ia true. mrea. aM S�Sa MA�mr Dam aipied �� Vaiyi,g allon - Si�a4ee of Pa�61v Dafe sipned ,wt'- a ,:Y� '.. � ;r�.,4"•:STPNDARD'D�UCTplJ'ALL'OWiWCE.r..:r§`� r�. _��tai:,t „''.:r+::�.ti.�•�,i;t�/t7:tfi�s.�2t 20 _ Pay 20 _ �r or �rz rio�a v�,a� or s3s.00a s Si��anue af nummr Date sgrred