Homestead_Smith (15)CLAIM FOR HOMESTEAD PROPERTY TAX
- CREDIT/STANDARD DEDUCTION
l � Slate Fortn 5473 (RS / 70-01)
�� Prescrihed by the Departrnent a( Lncal Govamment Finance
INSTRUCTIONS: See reverse side for filing instructions.
FORM
HC10
YEAR
i M,e) ��� I�E C�e�st ZOOZt March. 20_
I e ouu ied as our rinci "
(W ) p p p ce of residence fhe following described real property for which a Home ead Property �c C it is hereby aimed:
❑ I(We) owned ❑ buying under cont2ct
�Have a benefidal interest in the entily that is liable for the property taxes on Ihe property and ihat owns lfie-pro� �r�is tiuy�n��ndeRr a contract.
I( buytng on conirad, Fee Simple owners name
where mntraa is recwaed
n ariy ponbn or me rasie
of tha propeAy util¢eC to
Tavnshio
�� I������ . 3S - a-/2 �,�P,r �,��
etrudure or Ue land not exceedinp one (7) aae ihat immediatey w`rounds Nat
� ���,». � c(, 30
ac,
- 3S- 'Yoo - 4oS�/�7—
RecoM numEer
o�v.m
Page
H«�o tcc. o-,.,-n -
La used m produce incame, des«ibe me use ena portbn
20 _ Pay 20 _
Lesser of 12 Homestead
$6,000
Date signetl