HomeMy WebLinkAboutHomestead_Conner (3)CLAIM FOR HOMESTEAD PROPERTY TAX
-'� - " CREDIT/STANDARD DEDUCTION
t -� SlafeForm5473�R5/iP-01)
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by partrtieM af Local Govemment Financa
INSTRUC710NS: See reverse side lor filing instrucfions.
FORM
HC70
YEAR
I(We) l�VYV�B� �/ V ,(.('JN!"[XJ�r�rtiry that on �ie t°sthda'y ol-1AaF�
I(We) occupied as our prindpal place of residence the (dlowing described real p erty for whirh a Homestead Ropert�7�c,Cr�di� is�gr0e�by daimed:
H R ll �� � �
❑ I(We) ovmed ❑ Ne buying under controd
�Have a benefidal interest in the entiry that is liable for ihe properry taxes on Ne property and inat owns the aoperty or is buying under a wntraU.
If buyinq on contracY, Fee Simple ownefs name
County
where mntracl is remMed
To.mship
town, township)
Record number � Page
�I � Q �o� `� ��' O I Is Iha property in question:
� L.� UJ R� ❑ R� DroPertY ❑ lACDile Home (1.C. 67.1-n .
strucNre w Me land not ezceetlinp one (i) aae Ihet immeEiate surrounds that sWCWre is used b produca inmme, CesaiEe the use entl portbn
� ir�rtre. n • �.
ac
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