Homestead_TothCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Stata Fom� Sd73 (R614-03)
Presaibad hy Il�e Departrnent of Local Govemment Finance
INSTRUCTIONS: Sea 2varse side Ior filing insfiutions.
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described real property for which a Homestead Property Tac Credit is hereby daimed:
�'�4Ve) owned ❑ !ve buying under wntrect
' Have a benefidal interest in lhe enfity ihal is liable (or ihe property taxes on the property and that owns the property or is buying under a conVact.
II buying on contracl, Fee Simple ownefs name
Remrdefs office where conUaU is remrdetl
County
P rcel number
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If any poAion of 1
ol Ue property u'�
Tavnship
7acing (istrjq (qry, fown,
L I tlesclip�ion I Is �he
'7-�m � ,� ,� -,3-/ a
sWdure w Me land not exceeding ona (1 � aae tlial immediatey wrrounds
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Rewrd number � Page
in quesUon:
�al pmperty ❑ Mo6ile Homo (I.C. 67.1-7)
wre is used to pratluce income, describa Ne use and poNOn
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�.� � ��"..� �-. .�X.��'.::S��BROP.ERTXOWNED�'�BYCIAIMANT:,IN.OTHER�COUNTIES'f�>3_�r�"_,.��?t4tn�i`,�, �.�„�?{`�,�7,�'��
County Tavnship Caunty Twvnship
I hereby certify Ihe above statements are W e, corred and wmplete. Signawre ot daimant
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� ress (number aM sLeef, cdy, s(afe, ZIP code) �
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20_Pay20_
Lesserof 1%2 Homes:ead
vaivanon or E35.000
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Sgnahue ofAUddor � �ate signed