No preview available
Homestead_Williams�� CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT/STANDARD DEDUCTION � State Fortn 5473 (R6 / 4-03J Prescribed by Ihe Department of Local Govemment Finance INSTRUCTIONS: See revcrse side /or Iilinq insVUC(ions. FORM HC10 YEAR � cwe) �,<(�(Q �L.O �%�/ll.L`rC�%a..U%%L��� 0 t; f�7 2003 certiy that on e tst day o( March, 20_ I(VJe) occupied as our principal place of residence the (ollowin described real properry for which a Ho�Itead Prope T�yredit is/h/ereb�/y daimed: ❑ I (We) owned ❑ !ve buying under contract /L�"/`��""" "J "' / � _ " I ' Have a benefidai inlerest in ihe enti Nat is liable (or ihe ro e �axes on the ro e and that ownsihecnoi r� � iNT �� i�17 h P p�1Y p p rtY pr p� or is btFying u�d r a wntraU. I( buying on conVaG, Fee Simple ownefs nama Remrders ofice where contract is recorded Counry Parcel Tamship Legal U -VlO H any portian of Ne resitlentlal sWdure w Ihe land not ex ing one (1) arre that ot fhe properry uGlized b poduce irimme. County — // � / _ / U� ' Ul/ Tavnship I hereby certify the above statemenls are W e, wrred and complete. ci(y; afafe, ZIP code) Land nol exceeding 1(one) acre immediatety surtounding residential improvements. Otherland Tdal land (line i plus line 2) Dwelling Residential Improvementa a MnuaOy Assassed Mobile / Manufac4ued Home Ga2ge Other improvemenls Total improvements (line 4lhrough line 6) Tdal value (line 3 plw fine � I.hereby cartify the above is W e, corred, and complele. Vairy"ug aUion - Sigriature oflwdilw � nSU�� I ..�.�>.:>. :.,� � ��TRUETAX��'� f.�.tV.�u, ��i.._.. i�) (Z) (3) 14) (5) (6) I�1 (8) SignaNre ofAssessor fown, CG�� Record number queslion: ' /' V 3oal praperty ❑ Mabile Homa ( �e is used b pmduce income, describe Toxnship signed Date signed Page and portbn