Homestead_Seiberttin
CLAIM FOR HOMESTEAD PROPERTY TAX
' ' CREDIT/STANDARD DEDUCTION
`� � Sfate Fortn 5473 (R4 / &00) .
�.i.
INSTRUCTIONS: See reverse side !or filing ins6uctions.
FORM � YEAR
Hcto ��-
� � �
I(We) f A l�il.(.,(' ,� /.F'�(�JCA'l t-/ _ ceNfy that on th�e�.1st day of March, 20_ .
I(We) ocwpied as our principal piace of residence lhe foliowing described real property for which a Ho nestead Pro �rty'f�c Credibis hereby daimed:
�I(We) owned ❑ Are buying under contraG GIB/��7Y .AU� p O�
.iave a benefiaal interesl in the entity that is liable.for fhe property taxes on the property and that owns the property or is buying under a contrad.
If Duyinp on contracL Fee Simple wmers reme
Recorders ofice where contract is recorded � .
�._��_ ._ri . .'`ai`� . y � �3.:`'''�t��',+S'��; �: ;i?PROPEF
Counry Tams�ip �
L
Parcel numher Legal desuipUon - �
— C�OS6—G� � .
If any portion al Ne residentlal sW cture or Ihe WnA rrot exceeding one (7) arre that
at the property uGliied lo protluce inoome. '- � ' � ' �
� - ��-%9��-��-��
Record number � Page
Tacing ¢sqjct (city, town,
� d � �3 /C7� /• �9 S A C
y 5urrounAS that struUure is used to protluce inmme, describe Ihe use and portion
�