HomeMy WebLinkAboutHomestead_Lutz�� CLAIM FOR HOMESTEAD PROPERTY TAX �1� FORM YEAR
3 CREDIT/STANDARD DEDUCTION �'1\, HCta
/ State Fwm Sa73 (R6 / 1-03) .
Prescribed by the Department o1 Local Govemment Financ=
lNSTRUCTIONS: See revcrsc sidc !or /ilinq inslnicfions.
��.%3�s"����n"���-�.�'.{��F".i����F'."`.^��`�t?°w.t�CERTIF.ICAl10N'STAiEMENT�x`,at��a �`�w_ n �x��3�" .'3".°'�`.ss'��3"�i��A``��Sr`�—�°.--�- .s:-..''::
��e1 cerh'fy th �-oo the'1st��y�of March 20_
1(We) occupied as our principal place of residence the foli ng described real property for which a Homestead ProP�erty T�c Credit�i hereby daimed:
❑ I(We) owned ❑ Ne buying under coniract J U � 4`� [�U�
� Have a benefidal interest in the entity that is liable for the property taxes on ihe property and that owns ihe property or is buying under a conVact.
�. �,_%�,_.1/,. 1/
I( buying om m�lract, Fee Simpie ownets name
Recordars offica whaze conVaq is remrdetl
TamwD
If any poAion al Ne residen�ial sW clura w �he land nol exceeding one
of Ne ProPe+1Y uGt¢ed lo produce inmma.
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Rewrd number Page
Ta�ing disVict (rJry, town. (ownshiP)
3-�� O I Is Ne property in que5tion
❑ aeai o�caem ❑ r.,ca,e Ha„u c�.a �,. v-n
ace Ihat immetlialey surrounds that sWqure is used to produce inmme, des�ribe Ne use and portlon
�/�o�l�C
>oo_a�o.�3/-aaS
20 _ Pay 20 _
Lesser of 1/2 Homestead
vawanon w 535.000
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