HomeMy WebLinkAboutHomestead_Byrns (7)� ' CLAIM FOR HOMESTEAD PROPERTY TAX
:e.,�.� �= STANDARD/SUPPLEMENTALDEDUCTION
Sa:a Fam Sa]3 (RtS/ &t4)
•��� Prescnbetl by ihe DepaNnent of lofal Gave(m�ent Fvaem
INSTRUCTIONS: See reverse vtle Io�fiG7g inslruclion5. .
NOTE: Telephone SorJal Secunty, Criver's ticense, sta:e idenu.SCaGon eM iede2l idenG:seuon
FORM
HC10
�(We) ,. I 1 d�INY ��L�Y..J�A V il�tL certify thal��?) 97�Y1'��Q�y (our) PriridPal
place of resid_e�ice or am (are) buying ihe fol "ng descnbed real pmperty under conVaa for which a Homestead Property Tax Standard
DeduC.ion is hereby daimed on ihe date Nis application is signed, (date of na e): �
❑ ovm. ❑ Am (are) buying underrecorded convact. �L.�'y� ��
❑ Am (are) entinetl to occupy as a tenant-s:ockholder ot a cooperetive housing wr@�ffi�N C�UNTY AUDIT�R �
❑ Have a benefival interest in the wst or the right to occupy the pwperty under the tertns of a qualifed personal residence trust.
❑ Am (are) the shareholder, partner, or member of the enti.y Nat ovms the property. j
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RecorC�umCx Page �
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❑Yes❑No
20 _ pay 20 _ Lesser af 60% of Ne assessetl v�ue af the homes:eatl or S45,U00 �
NOV 2 3 2015 i
Abfwith4andug any otherprovision, ihe wm ol Me CetlucLms plovided in IC 61.1-12 fo a mobife hortre 5 I
Na! i�iro� assessed as real property or ro a manufaUUmd home fhef is rrof assessed as real pioperry may
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DISTRIBIRION: (kp�aul - Goun.y NAi:or, FdeSampeO Copy- Tv..reyer