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CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Slate Fortn 5473 (R4 / &00)
INSTRUCTIONS: See 2verse side for filing instructions.
FORM r
HC10
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County
Twvnship
I hereby certify lhe above statemenls are true, corred and complete.
dty, 3tate. ZlPCOde)
Counry
Tarnship