HomeMy WebLinkAboutHomestead_Dearing, CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
S�ate Fwm 5473 (R6I1-03)
Prescii0ed by the Department ot Local Govemment Rnance
INSTRUCTIONS: See reverse side loi liling insfmc(ians.
�N� FORM YEAR
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I(We) certify�fhal on the 'Ist day of March�20 V
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I(We) occupied as our principal piace r sidence the following de �bed real property for whi Homestead'Property�T�rCredit(is heretiy 8aimed
�(VJe) owned ❑ Are buying under conlract
Have a benefidal interest in lhe enlity tha� is liable for the property taxes on the property and tliat owns the property or is buying under a conVact.
I( buying on conVad, Fee Simple ownefs name
Recordefs ofim whare wnUad is remrded
Record number � Page
County Tamship Tacing Eislrict (city, tawn, tawnshiP)
Parcel number D/� g� Legal description Is the pro � queSGon:
- Real proparty ❑ Mobue Homo (/.C. 6f.7-�
N any portion ol llie residentlal sW cture w Ne IanA nat exceetling one (1) acre Nat immetliately wnounds lhat sw re is usea to praduce incane, describe Me use and poNon
of Ne pro00rry ulili2ed to yodute intome.
County
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:�::,?'`,��'' PROP ERFf,:OtNNED; BY'CLAI MANT:
Tavnship County
I hereby certify lhe above statements are We, corred and mmplete.
�ire;i (nu�nbu aM sLeef. ciry, atate. ZIP codel „ . _ .
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20 _ Pay 20
Lesser of 1/Z Homestead
� vauaaon a 535.000
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5
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