Homestead_Coplenrt.
} CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
j State Fwm 5473 (RB / 4-03)
Prescribed by the Department of Local Govemment Finance
INSTRUCTIONS: See reverse side !or /iling insirucfions.
-j i
FORM
HC10
YEAR
� M�Q) � certify that on�hUeust day o(/ MIIaf'r{ch, 20_
1(VJe) occupied as our principal place oi residence e following described real property for which a Homestead Property T� Credit'is`I�Yt�Sy daimed:
❑ 1(VJe) owned ❑ Are buying under contract � � � � n
� Have a benefidal inlerest in the entity that is liable for the property taxes on the pmperry and that owns the pmperty�orrs.buying under.a _contract.
I( buying an coniraq. Fee Simple ownefs name
Recoidefs ofice where mntraa is recorCed
Coun Tamship
Par I number Legal d tion
- a -
If eny portion of Ne resitlential sW ctura w Me land nol exceedin o e(1 �
of the praperry utilizeA tu produce income.
-!O'ol / '/ U/ '
t� �' :�"'�PROPE
Tavnship
I hereby certify the above statements are true, corred and complete.
Address {ry�mber and �ef, ciry; afate, ZIP cnde)
^� �
district (ciry, rown,
Is Ne
Record number � Pa9e
Raal Droperty ❑ Mobile HOmo (I.C. 6/.7-7)
ire is used b produce income, tlesaihe Ne use antl pwl'an