Homestead_Spindler�} CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
51ate Form 5473 (RB / 4-03j
Prescribed by tha Department ot Local Govemment Finance
INSTRUCTIONS: See reverse skle foi liling ins(mclions-
FORM
HC10
YEAR
� e ��JJ� ��� r��N�-� ,/2 - �� � �n' '°� — —
(W ) � / certi t o�hTe�tst dayL1o����h, 20
I(We) occup as our principal place of residence Ihe following described real property for which a Homestead Prope 19��Cr�.rTS y daimed:
❑ I(We) owned ❑!ve buying under cont2ct
. Have a benefidal interest in Ihe entity that is liable for the property taxes on the properry and that owns the pr�rty or i€hu�ng � �_
I( buying on toniraq. Fee Simple ownefs nama
County c�) �.
Parcel
contraa is recoraeO
TamshiP /� //� / I Tmcing district
�V �V
Is ihe
i //{±��v11J' /� t- V�J' _J�LI/1
wnion o/ the ravtlential sW cWre or the Wnd not exceeding one (1) aae ttiat immediatety wrtounds
�7P�,�,��3a�i0�
� i� 8q�
3as�Qas
Rewrd number
�w��y / 4ll
question:
Page
al propeM1y ❑ lAobiie Hwno (I.C. &1J-� .
is used b produce income. describe Ne use and poNOn
20 _ Pay 20 _
�ser ot 1l2 Homestead
/9uaUan or E35.000
SignaWre ol Aud'Aa
S