HomeMy WebLinkAboutHomestead_ZiliakCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
` �' Slate Fortn 5473 (R8/7-07)
Prescnbed by Ne Department of Laal Govemment Finams
INS7RUCTIONS: See reosrse side /or filing ins Wcfions.
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FORM
NiAR 'l � HtQtPJ
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YEAR
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i lwe) �.(��m c�,¢ ��QoiY/ �� i/i Aa' certify tliat on the 1 st day ot Merch, 20_
I(We) oocupied as our prindpal place of residence the foilowing described real property tw which a Homestead Property Tmc Credit is hereby daimed:
�e) amed ❑ Are buying under mntraG
Have a benefidal interest in Ne entity tl�at is IiaWe for tl�e property taxes on the property and that owns fhe property or is buying under a contraC.
If dry'vig on oontraq, Fee Simp�a
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imrt�e
Recwd number � Pape
Counry � Tamahip 7adng di '(city, town, townsNp)
Paicd number � Legal descriplion � I Is Ihe ' question:
d- -1 -"y0G -UG q7. a �o -DoZ � woaenv � Moa� Ho�» ��c s�. i•n
If arry paUon of ihe residerrtial sirw�ure w Ihe land not ezceetlirg ona (t ) ac+e Ihat immedialeiy artounds Ihal ra is used in P�� ��. dexribe Ihe use aM portion
of Ihe properry WGzetl m produce imm�a.
. . �•'� � � � •
20 pay 20 _ qs�ppp {or 2007 pay 2008 42.000 tor 2010 pay 2011
Lesser af 12 qq,000 tor 2008
Homestead Valua6on PaY 2009 41,000 tor 2011 pay 2012 $
« 43,000 for 2009 pay 2010 40,000 payable after 2012
SlgneWra ofNditor Data spneE (month, day, yee�