Homestead_Garbers(3)�• CLAIM FOR HOMESTEAD PROPERTY TAX FORM 1'EAR
CREDIT/STANDARD DEDUCTION HC7o
SUte Form 5473 (R8 / 1-03)
Prescribed by the Department of Lacal Govemment Pinance
See reverse side !o� filing
i �we) ��L� i_, � � 1.��� �����ly � �a'� ��n _
that on e 1s a o ersch, 20
I(We) occuqed as our principal place of residence the following described real property for which a Homestead perty Tae Cr�dit ishereby daim
� lh
❑ I(We) owned ❑ Are buying under contrect
' Have a benefidal interest in the entity Nat is liable for the property taxes on the property and that ovms t r6"phi�Ni���iig ��a�i ract.
If buying om m�Vact, Fee Simple ownefs name
Recortfers o14ce where conVaa
h 7ownship 7acing eis " rJry, town,
Par � _VV Le9 E ' on —` s Ne�U
ll
M eny ponlon of the resiAentlal strucWre w the la d not eaceeding ona (1 � ace thet immediatety sunounds Ihat swi
ot the propuy uti0zed tn praduce income.
RecorC number � Page
Question: /
Real property ❑ Moblle Homo (I.C. &7.f-�
ire ia used b O��uce income, desuiba Me usa and portbn
� �'G - /9 -�o - �ao -6�b1, /s� o�..� �
20 _ Pay 20 _
Lesser o11/2 Homestead
Veludion a E35.000
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