Homestead_Hinkel, CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
j Staie Form 5473 (R6 / 4-03)
Prescribetl Dy the Department of Local Govemment Finance
under coniract f1 �n�.a� /
�D ,�q.sr•ra �^ ��r�(�`„`.{�
Have a benefidal interest in the entity that is liable for the property taxes on the property and ihat owns lhe property or is 6�iy(ng under'a wniraa4.(
If buy'ug om m�Vad, Fee Simpie awners name
where conVaq is recorded
Counry
Tamship
Ta�ing disirict (ciry, tawn, (ownshiP)
Record number � Page
J�_ DNW / W I L�� P„ �-3-1 b I Is ihe P�PeO°Real proparty ❑ 6lebila Homo ll.G biJ-7)
portion af Ihe residmlial sWCWre w the Wntl not exceeding one (7) aae Nat immediatety wnounds that sWGUre is used b produce income. desai6e the use and portion
proDe+1Y ulilized to produce incame.
�-so►�c.
- , ,-�, - ��, -
, , ,fiK� ; �' °� � ,� `, ; � ``� .� ; = � � P . F i O P , E R '
Tavnship
I hereby certi(y ihe above statements are W e, corred and complele. �
re (nvmber sVeet, city, uafe, ZIP cade)
Q.'�2 R� ✓ 7�1- .G / i'��
Land not exceeding 1(one) acre immediately
surtounding residential improvemenLs.
Other land
Tdal land (line 1 plus line 2)
Dwelling
Residential improvemenfs or Mnualy
Assessed Mobila I Manufactured Home Garage
Other improvemenis
TUaI improvements (line 4 through line 6)
TUaI value (line 3 pha line n�
I hereby certify ihe above is We, corred, and
complele.
Veiitying action - Signature oflwdibr
(�)
(Z)
(3)
(4)
(5)
(6)
(�)
181
SignaNre o(Assessor
�
Coumy
Tavnship
signed
Date syned
.'�'s ��;,�.*vS�R_`�e„T"".�4..�.`'��`.xits�"°�'c'.�-��`�#'.�.�'��`-if:STANDARU;DEDUCTiON AL•LOWANCE'_t$',���',�,-,'�ij.,���x''`�+�iy.� � :�.",��'�`"-,�'±�+�'�'i``v�'..��:�
20 _ Pay 20 _
Lesser of 1!2 Homestead g
vawauon a 535.000
SignaWreofAudita , 1 Data e0
w �%- D