HomeMy WebLinkAboutHomestead_EdwardsN� CLAIM FOR HOMESTEAD PROPERTYTAX .
" °' ' CREDIT/STANDARD DEDUCTION
State Form 5473 (R4 / &00)
S ,.�. �
INSTRUC710NS: See reverse side /or filing insWc6ons.
FORM � YEAR
Hc,o 3
I(VJe) ���C.l�/'C.C..( L�Jd— certify tlFdt'�n ��st�001 f March, 20_
I(We) occupied as our principal place of residence the following described real property for which a Homes[ead Property ac C� dit is hereby EJavned:
❑ I(We) owned ❑ Are buying under contrad r
�-lave a beneficial interest in the entity that is fiable for the property taxes on the property and that owns thePproperty oi,s�b ying �nd�eRa contrad.
116uyirg on conVaU, Fee Simple ownefs name
Counry
Tpmship
Legaldescnp�on
If any portion of the residential sWdure or Ne lantl rrot exceetling one (7) acre that immediatety surrounds that
of the praperty Wlized to produce income. - - � .-.
Record number
Page
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�use0 lo produce inmme, describe Ue use aM portion
,�'�� ' ' g-� -'k�'-N 'z `'�t'Sl'ANDARD'-DEDUCTIONALLOWAfJCE�'- "'t � ' '�"-3s�s �"'""'"
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20 _ Pay 20 _ �
Lesser of 72 Homestead
Valuation or $6,000 $
SignaNre olNitlitw � Date signed � �
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