Homestead_Schmitt (6)CLAIM FOR HOMESTEAD PROPERTY TAX
- CREDITISTANDARD DEDUCTION
t -� StaU Form 5473 (RS / 70-01)
��� Presrribed by Ihe Deparhnent of Local Gavemment Finance
INSTRUCTIONS: Sae 2verse side lor �ling instructions.
FORM YEAR
HC10
�� �r �q
�, �
1(We) �� I..L+w1 1 / J • certiiy that on the 1st�day of �� _
r
I(We) occupied s our principal place oi residence ihe following descnbed real property for which a Homestead PropertyTac C�it'is heteby daimed:
�w�' �J.' ;-; � : 4CUn v, .
❑ I(We) o d ❑ Are buying under contrad � C13S0�'� C��
, Have a beneficial interest in the entity that is liable for the properry taxes on the property and that owns lhe property or is buying under a wntrad.
If buyuig on canVad, Fee Simple owners name
Remrders ofice where contraG is recorded
Caunty
Tamship
Nany portion of Ne residenilel aWCNre a Ue
o, ma aov�y wra�a m,�a� ���.
rmcing aislrict (dty,.rown, rownsnip)
Is the property in question:
❑ Reel Drop
Retord numbet
❑ Mobila Homo
Page
ezceeding one (7 ) aae that immediatety wrrounds that swcNre is used to produce income, desaihe the use antl portbn
5.36�.
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