Homestead_Boyer,..' . • . . `
_ '� CLAIM-FOR HOMESTEAD FROPERTYTAX
CREDIT/STANDARD DEDUCTION
t Siate Fwm Sa73 (R6l d-03)
' � Presrnbed by Ne Departme`rt of Lacal Govemment Flnance
� INSTRUCTIONS: See reverse side for Filing instructions.
a
FORAA '
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I(We) , . / certi �th� y oLMarch, 20
I(VJe) occupied as our prindpal place of residen e fdlov+ing described real praperty for which a Hortte�a$� ��i�UN��I�OHreby daimed:
�I(We) owned ❑ Are buying under contraa
Have e tienefidal interest in the entiry that is liable for the pmperty taxes on the property and that owns the property or is buying under a conVaM.
If buy'uig on contreG, Fea Simple ownefs name
Recordars oftice where conUeq is recordad
Tawnship
Record number
A.i _ ', - `�:^,.
fown. township).�-•
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Paga
r u er I te"Yq�cnpl�� I^�� ^' I I Is Ne property In Question:
T�C� <
i-e. � ❑ Real property ❑ Mobile Home p.C. 67.1-�
II eny portion of Ne residentlal sWCture w the� not exceedinp ona 1) aae th't� ediatety s� tls Nat sWCture is used to produce inwme, describe Ma use and poNOn
of tha property utllized W produce income. r Q
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��-Ig-13-a�o- ooa. �6�-��S
s�,,FR}�;? �-'� ,. "'" `'' ;` �... z��;?!�''�_ r�,:, ,°:;`STANDARD DEDUCTION ALLOWANCE-:� _ � �
t.
20_Pay20_ '
Lesser of 1/2 Hanestead
Valualion or $35,000 S
SipnaNre of Puditor De[e slgna0