HomeMy WebLinkAboutHomestead_Burns (5)CUUM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
s�ete F«m u79 (RS � ao9)
Resa�ed by tlro Deparumm� d Labl Govxmnmt Fina�e
INSTRUCTIONS: See iewYSS tfd� kr f�np inrburtipns,
FORM �, YEAR
HC10 �
����
I(We) L- �� �`� v��� certiry that on the tst day ot March, 20_
I(We) occupied as our p cipal pl resid the (Wlowing described real property for which a Homestead Prop� �� CreNCtrty�,hereby daimed:
❑ I(VJe) owned ❑ Are buying under contract � � ITOR
... r.Ot�NTY AUD
' Have a benefidal interest in Ne entiry ihat is fiable for the property taxes on the property and Uiat owns the.pmpert� or �s buying under a wntraU.
I( buying on contract. Fee Simple owners name
Recorders ofice where conVact
Tavnship
Parcel
H any portion of fhe residential sWCWre w Me IanE not axceeding one (1)
ot Ihe propery uUlrzed lo produce ixome.
Ta�ing disVicl (dry, rown,
� IsNepro
imrt�etliatety wrtounds that
Rewrd number
queslion:
38a1 property ❑ AAOWe HomO
Page
is used b produce inmme, describe Ne use anC pwtbn