HomeMy WebLinkAboutHomestead_KnakmuhsCIAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
S sra�e Form 5473 (R7 � s91�
Prascnbed by tha DepeNrent af Laal Govenur�ri F'v�anoe
INSTRUCTIONS: See ieverse side for filing instructions.
FORM �� Y�
HC10 � �
I(We) / '�at n st y�rch, 20
I(We) oa.upied as printipai place of residence ihe folbwirg desrlibed real property for which a H ad'�ro ac Gedit is hereby daimed:
❑ � cwe> °W"e° ❑°`e b'm"9 °"°g `°'�a JU L 2 2007
❑ Have a benefidal intere� m the entity that is IiaWe for the {xoperty tazes on the propeity and that ams the proparty or is buyv�g under a contract
rc buW9 om m�tracl Fee Simpe awnela r�me
r�ders o� wnae m�maa �s rewded
,k'�,�:x2'dT-c3.�'.u�`:S�c?�'".S���s%'". � ; ;" � :;'1 -
d:P�l✓. '1::�,�..�`�i..::M=�r(4',i:..
CamlY 7avr¢Itip
Tmmig Ci9tict (cdy, fown. fownsftiP)
Remrd numher � Paga
LS al Ees ' lion property' q
� P 1 Is tha m uastion:
_ S� / 3 ❑ Reel poperty � Mohile Fiome (I.C. 61. f-7)
^Mial MicWre a tlre WM nd mcceeding one (t) aae tliat immedately arrounds Ihaf sWCWra is used b Woduce cwome. describe ihe use end porUOn
proAUCe'uwnrne.
' O
5''•��'�:':i.�a4�int�W➢�l�`^�'�k'1�.'�yZ','f,'+�+g•`yC�s:t., .�,.'t7?sk:.ST{WDARD�.DEDUCTION'AL'LOWANCEr`,�..�tia�{:c''�.�+.-,�4. „�,i�I+:�1,ei:Y`�`-�r!r'�bne�i'�f�Y'!."��"�`i'1?:<�3,:zF
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Leuer of 72 Homestead
Valuation or f35,000 E
Si�ae ot Nd'itv Datn sipned