HomeMy WebLinkAboutHomestead_Kruse (6)�� CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
j State Fwm 5473 (R6 / 4-03)
PreStribed Dy the Departmenl of Local Govemmeni Finance
INSTRUCTIONS: S� revcrse side lor /ilinq inslruc(ions.
FORM YEAR
; -HC70 -� -�
a r a �
11 3tJ 'L�
m
I(We) / - �� l- � U�FJ-2� certi�that on thelst day,�o( Marcli,�20 �/
i /r✓ ; w----t,^- i
I(We) occupied as our principal place of residence Ihe owing described real property for which a Homest Ptoperty�T� Credit is he2by daimee
❑ I(We) owned ❑ Are buying under contract
� Have a benefidal interest in Ihe enfity that is Iiable for the property taxes on the property and that owns lhe property or is buying under a wnVaU.
If buying om m�lrad, Fee Simple ownefs name
Recadels ol6ce where mnuaq is recorded
Counry
Parcel i
�
N any p
of the p
County
rwmsnip
rILJ�✓ �/ O `-' TL�TT c.Yl.[J �/- J-�� I Is the
af the residenlial sWCWre a the land not exceeding one (1) aae at immetliatey surrounds
y utilized to produce income. ^/�
r7C.�
-i n�ii -
Twvnship
I hereby certify the above statemenls are We, coned and complete.
Address (number ane street crty, sta(e, ZIP cod
� \� \� .1� l �!1 r. 5� 5 �,-i � � (�., ,.--.�
County
fawn,
Record number � Page
Real D�operty ❑ Mobile Homo (LC. 67.7-�
�re is used to produce income, deuriba Ne use antl portian
To�vnship
� �:�._ e..a. ` ' *� ' - s �:,z..,: _ '.'�-
-- `'�, � �.. . �.rc�-- :. : �'�' �..�..°���'�-�..STAN�ARU:DEDUCTION�ALLOWANCE?y,�;:.�3.'"+s�v�3+�•s..p'�a`Ye,���?��',E.�2�?:"�x���-r-
20 _ Pay 20 _
Lesser of 12 Homestead $
VaivaLOn or 535.00p
Sgnature of NMdn " Date signed