HomeMy WebLinkAboutHomestead_Stodghill (3)�} CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
/ State Fwm 5473 (RB / 4O3)
Prescribed by lhe Department of Local Govemment Fnance
INSTRUCTIONS: See ievcrse�side loi Iilinq ins(nrc(ions
FORM
HC10
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YEAR
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I(We) 1 1 certify Ihat on the 1st day of March, 20_
I(We) occupied as our principal place oi resid Ihe following described real prop for which a Homestead Property Tac Credi[ is hereby daimed:
❑ I(We) owned ❑ Are buying under contract
' Have a benefidal interest in the entity that is liable for the property taxes on the property and ihat owns lhe property or is buying under a conVact.
I( buy'ug at canVad, Fee Simpie awnefs name
Recorders ofice where contrad is reoorded
Recard number � Page
�'Y$`'�`k�':�?.�',u�'��'.'r"��., �Z �°` .,,?P.ROP,ERT.Y,�OESCRIP,TION?�`t.�`�' �-.��§�`���' � ' -� m `''�
___..-<ass;. u�n --J.`_�sr��'ir�"'�,�'t^�.�'._�'r:
Counry � To.mship Ta�ing dislric� (city, town, township)
Parcel numb/er��[] `� Legal descnplion Is the propert�y in9 uestion:
0 �) i �C.(J �Real D�opery ❑ Mobile Homo (I.C. 61. f-7)
H any ponion a( Ne resiAenilal sWcWre w the land not exceeding one (7 � arre that immeEiatery w`rounds Ihat swcwre is used to produce income, desaibe Ne use and portlon
o11he property utilizeC tn produce income.
Ir:w�,�'�.."�'�,���fi�'S�'P���-�uPROP.ERTY,OWNED:�BY,CI'AIMA!lT�IN,'OTHER'COUNTIES>�`'�,��-��''r��i�..'�y�i,�',-�, ,�,"�
County Tavnship County iwvnship
I hereby certify the above statements are We, cortect and complete. Si n mre o1 claimam
dress (number aM sheel, ciry, sfafe, 21P code)
20(�aPay20 V -
Lesser of 1Yt Homestead
vauauon w 535.000
$
Date s gned
.�- /O • 0