HomeMy WebLinkAboutHomestead_MeeksCLAIM FOR HOAAESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Slsta Fam 5473 (R6 / 403)
Rearn'Eed bY tlro DepaMrotrt d Lxel Govmnmmrt FinarKO
INSTRUCTIONS: See revarae stdo AyfBp iraburb'y�p.
FORM
HC10
� � � �
r�'
YEAR
�
�\ /
��e) � certi(y ihat on the 1 st day of March, 20_
I(We) occupied ur p' al pl of residence the toilowing descnbed real property for which a Homestead PropeH,y J O re4jtj;�ereby daimed:
❑ I(VJe) owne Are buying under cant2ct ��� ��
� Have a beneficial interest in the entity that is liable for the property taxes on Ihe property and Nat owns lhep��ett�j ar'fS'tl�yif�g'U�Gei�wntraU.
If 6uying on contraq, Fee Simple ownefs name
RecoMels otfice where conVad is recordeA
rvY�•z
c�, -a� s4''.,."�.��aSE�t�'.3`��a'!.'�i`��2 -"`r.��
Counry � Tamship
�
N any ponion af
ot the pmperty i
CouNy
Legal
snllal aW cNre a the land not mcceeding one (1) aae Nat
praduce ir�wrtie.
I hereby certify the above statemenLs are We, corted and complete.
(number arM stree( cry,
IRecord number I Page
escRiaTibN���"��`����� �;;'�� �r,���x'�
Ta�ing Eistrict (dry, town, (ownship)
Is�properry in question:
1\ ❑ Real proPerty ❑ Mobila Hwno (/.C. &/./-;
County
swcwre is used b produce income. describe tha use anC portion
�'»'�:'.�_'-'�._��d�sS«eUE���k'3��a ���in`;�STANUARD:DEDUCTIONAL'COWANCE�:s?'+" <t�v- --� `->+sy.y-rns't7i. � co.+ �-i-=�-
. _ . .�. x. �d'#2't. .�S -�5z.ezs-�'R'.3e���"<�+Y�a.e`-1'4 :^:.
20 _ Pay 20 _
�esser ot 1�2 Homestead
Va�uaDm a f35.000
$
SignaWreofAuditor " Da�eSigned