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HomeMy WebLinkAboutHomestead_McCoy� CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT/STANDARD DEDUCTION 3:ate Fonn St73 (R7 / 506� P e;ta�eA 6y Ihe DepaMbnt oF Laral Gorerrcner4 Finanoe INSTRUCI70tJS: See rnverm side (or filing insbucGOns. 9G � _ FORM HC10 YEAR ��e) _ � � �(�� t o7n tlpie i Astndcay oT MarM. 20 I M'e) ocapied as our prtndpal place n: �. „ fhe fcNa.i.y d . f.ca� prop=.-�: for which a Hortvtstead Ar6petty�7s�uWit is hereby daimed: ��(We1 owned ❑ Me buymg unAer cmtract Have a bercfiaal intere� in the entity ihat is liade for the poperly fazes on fhe property ard Uat owns 7���9 under a cantracl .�, � � �.. . . . -. ,_ . � • . � . . _ :.C4N7T�ACT-RECCna7EA �- . . - .•. • _, . If huy'v9 on �mNacl �e Sirt�le nw�efa rtame — F�mdeYS ofbca where mnlrad is recvdetl Rurud number Page n �, . C�MI � Ton¢lip ��g di9rid (dy, I 1 � I ��,.�.�a�7a-cx� `. �°' ,(.s� (���° n ary ponfon or uie resideNial senieme a. u,e Im,e na mmeeany ore (1) aoe �:mm�6a�e�y s�rtaa� u� m me p,operry wBzen ro n�c« �m„e. �Q�.P� �'G-�9-o.3-�oo-�oa.i�a-oa� rP) . . � �.Y ' �n m: rropvlY � MabileFbrre(LC.67.f-7) Wre is used b P�duce inmme. describe Na use and portion . . . . . .r ?'.� �'��7 � , aSSFSSOR USE ONLY '--� n � ' , - �.. 4 NY:tv.;�' Land not erceedirg 7(one) aae imrt�ediatey ~. s�mo�mdingtesidentialimprovertw�nts. (�) Olher land �Z) Tdal land (1"me 1 plus fc,e � �3) Resdenfial unp�wemenis v Mm�ally ��9 i4) A4C.SSfA MOOI�C / � FiOTB ��'P (5} O�her improvemenLt � (6) --- -� Taal imprwene.As (�e e mr.rn.n a,w �s,----- f`' `i Tdel value (!c'e 3 pkrs Gne n —� (8) I hereby certify the above is W e. oorted. aM ___ i Sa� COffIP18[B. � —__ __— _ _ _ __ ___. __l.___ �irying actian - Signahae a1 adrot 20 Pay 20 lesseraf i2 Honwc�nn�f Vetuation w S35.Ob0 {LS _. �A � --- i -- __�___ otl�vessar �� �i: — MS" .y .?,�,:� .�.�:-;i..,zxi:�.�_ . .. .. � _ r��� �;ri��._j: ���; r- �M _ � . 1" sit`' . . F >:. S�n!!A �%v�M Gf'"ROM f J ^N,vb'iC� __ — "_""_ _' _ __—^ _ : —: I i 1 q