HomeMy WebLinkAboutHomestead_Weber (2)n.
Y CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
y State Fortn Sd73 (R6l L-03)
Presrribed by the Department of Local Govemment Finance
INSTRUCTIONS: See reverse side lor liling inslmUions.
FORM
HC10
����
YEAR
� M�e) ce�ti(y that on the 1st day of March, 20_
I(We) occupi s our principal p of residence lhe following described real pmperty for which a Homeslead Property Tax Cr/e�d{it is her�b�y �'/imed:
❑ I(We) o ed ❑!ve ying under contract G�g/�`;IT� OR I
` Have a benefidal interest in ihe enfity that is liable tor the property taxes on the property and thal owns lhe property or is buying under a conVact.
I( buyinq on conVact, Fee Simple awners name
Remrdefs ofice where conVacc is recorded
CounTy
Tavnship
arcz� numcer � g i a25tnpVOn
��'-c��� -� �, � a9-3-�Z
I( any ponion ot Ihe revAential aW ctura w the land not exceeding one (t ) aae Ihat imm
of the proparty util¢eE tn produce ifrcome.
IRecord number Page
10 ���"`'�i,.r�.'Cs?ap'�(n.z..�'�,'t'±�'3�'-pi�a.`'�.��'`-�'+�a,��tc'Y.
c ciry, ta� , township)
IS �118 pfq e in auestion: I/
a� �Real Drop�rt7i ❑ Mobila Hwno (I.C. 67.7-�
d
wrrounds that suucwre is used b produce incrnne, describe Ne use and portion
� c�� -/%�?9 c�QO'- Ct��tJ' •/�S�Q�� �
":�������-���'-�n�������'��'�:�ar'c�t;STANDAR�;DEDUCTION�AL'COWANCE �;:?''' -k..e����,.�`�-'�'v���'�t��:��
20 _ Pay 20 _
Lesser of 1!2 Homestead
S
vaivanon or 535.000
SignaWre of Auditw � Date signed