Homestead_Lamb�, CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Fwm y773 (R6 / 4-03)
Presriibed by the Department of Local Govemment Finance
INSTRUCTIONS: See reverse side !or filing insfmc(ior�s.
� FORM
HC10
YEAR
1 �,
Jt.�J
��e1 certify fFiat on the 1st 6ay of'March, 20 /
I(We) occupied as our principal place residence the following described real property (or which a Homestead Pmperty T Credil`i� hejeby.daimed
❑ I(We) owned ❑ Are buying under coniract �'� Gf°_SGY CONd � Y^c•�•'�" '
, Have a benefidal interest in the entity that is liable for the property taxes on the property and that owns the propeRy or is buying under a wntraG.
If buying on contraq, Fee Simpla owners name
Remrtlefs olfice whare coniract is recorded
��c's.�C�i �S�Yi$:��'drf't��F,1.��:.��''iT
Counry - . iamship
Tating tlisuict (dry, fown, fownship)
Record number � Page
rwarceV�l1n`umcef ��^/ ^ /�� L I ECSC(1 Gon
�.lv� —lMI /q�W �t � n�, 5�.� a9-3 io IsfheP� O�ReaISP perty ❑ MoblleHwnopC 6f 1-7)
If any portirn o( Ne residential sW cWre or the Wnd not exceeding one (1) aue Nat immediatey wrtounds that sWCture is used b produce income, descnbe the usa and porlion
of Ne properry utiized b produce income. I• I I^ �
V
I o?G -/9-d39- .�oo - oa�. /79-Do?s I
� � r , � _ �. - ..� �...�L�����:�:
: ,�w.'�''`.:�-sfi��:�.xtri.e3,�+�'�lir�a 5��,�STANDARD:DEDUCTION'ALLOWANCE��,_ �•,�;;�';s,��?'.��,.NZ. ""'�
20_Pay20_
Lesser of 1Y2 Homestead g -
vauanon w E35,000
SgnaWre of Audita " Date s' ned
� I� O