HomeMy WebLinkAboutHomestead_Busch (3)CLAIM FOR HOMESTEAD PROPERTY TAX
� CREDIT/STANDARD DEDUCTION
t � Slate Form 5473 (RS / 10-01)
Presuibed M tha Departme`rt of Local Gavemment Finance
INS7RUCTIONS: See ieverse side /or filing insfructions.
FORM YEA
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� M�e) cett�ty.ihat an.tll`e; sl d�� Mardi, 20��
I(We) occupied as our p cipal place of residence the foilowing desaibed real property for which a Homestead'Pi�pe"i(y Ta'�e�Cretltt is,her�eby d med
� I(We) owned !ve buying under contract -
�Have a benefidal interest in the entiry Nat is liable for tlie property taxes on the property and that owns the propeRy or is buying under a contract.
If buyiig on conVaq, Fee Simple ownefs name
contraa is racorded
County � Tamship Tating d' ' dry, town.
Parcel numbar L al descriplion Is Ue pmperty
3-QD 5� ��1-3-I
I( any ponion W Me residmtiai aW cNre a tlie land not exceedinp one (1) aae that immeEiqatey surrountls that s i
o/ tha WuPertY uL$ed t0 produte'uiWme. /, a/� aG
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. O� 3 -d�1.�
RecoN number
Page
in queslion: �
}�Real DropsM ❑ Mobile Homa (I.Q 61.1•� -
ivre is used b produce Incwne, desaibe Ue une and pwtbn
�.� z _-�`�`�*�°`��n-�".'��'e•�3�'i'"s�`�iSTANDARU'bEDUCTION'ALI:QWANCE��'"ae`S`v'a•:?�faS�3�5niE'`F�=3�s�'��� :�'���-_`�'�'^�
20 _ Pay 20 _
Lesser of 1/2 Homestead
Valuation or $6,000
$
Signahire of Au?M1ar ' Date signed