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. � CLAIM FOR HOMESTEAD PROPERTY TAX
' CREDIT/STANDARD DEDUCTION
� � State Fortn 5473 (R4l e-00)
INSTRUCTIONS: See reverse side for filing insWCtions.
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I(We) 10 iC..CJI./ V l lil_l �.JC..X.CJ.d Y\ certi �B a arch, 2
I(We) occupied as our principal place of residence the following described real property for which a Homestead Propert�-l�cCftrs '
�(We) owned ❑ Are buying under contrad �� AUOITOR
ave a beneficial interest in the entity that is liable tor the property taxes on the property and that owns the property or is buying under a contrad.
II buy'ug on contrac� Fee Simple ownefs name
RecoMeYS ofixe where wntraG is recorded
Counry
of
to
, Tamsliip
Legal de:
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`rot exceeding one (7) acre
Recortl,number
Taing tlistriU (cify; town. (ownshrP)
surtounds ihat struUure is use0 to protluce
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the use and portion
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