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CLAIM FOR HOMESTEAD PROPERTY TAX
' CREDIT/STANDARD DEDUCTION
� State Pwm 5473 (R6 / 4-03)
Prescri6ed by Ihe Departmenl of Local Govemmenl Finance
INSTRUCTIONS: See revcrsc side /orlilinq instruclinns.
`„�(l,� FORM YEAR
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Prope�rty Ta�Gedi it slheieb'��claimed
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�I (We) owned ❑ !ve buying under wntract
' Have a benefidal interest in ihe entity that is Iiabie (or ihe properry taxes on the property and that owns the property or is buying under a contraU.
If Cyvg on conirad, Fee Simple owners narne
Counry
Parcel number
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u any ponion o� �
of the properry u
mniracl is recorded
Tavnship
Legal description
(ciry, rown,
Is the
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idenlial sWCture w Me Wnd not exceeding one (1) aae Nat immedialey surtounds that
to produce irrcome.
Record number � Page
in question:
�eal property ❑ Mobila Hwno V.C. bf.f-�
Lire is used W protluce inmma, describe the use and portion
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'�`?��-�'"����-��,�_�'.�.-�sTaronaRO.oeoucnoriauownnce��;°��;�';��. �—?�,��-�:�R��v,�;
20 Pay 20
Lesser of 1Y2 Homestead g
vauauon or E35.000
Signawre ofAud"R " Date signed
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