HomeMy WebLinkAboutHomestead_Brooks"'" CLAIM FOR HOMESTEAD PROPERTY TAX
S�_. ' STANDARD/SUPPLEMENTALDEDUCTION
Sfa.e Fortn 5473 (R72 /6-09)
�� = Prescn6ed by the DepaM�ent of Local Govemment Fi�nce
INSTRUCTIONS: See 2verse side lor fil"ug insfrucfions.
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1
APR 2 6 CU10
8"'iY�S- 80l1
I (�/Je) `T cerlity that I�vlie�o�g�5,
� ivi`I
place of residence or am (are) yinq the following des�xihed real properry for which a Homestead Pmperty Tax Sta a��jeduc�ion i
under mntrac[ on the date Ihi appliption is filed, (dafe o/�ling):
❑ I(We) ovm ❑ Am (are) buying under recorded conVact
❑ Am (are) entitled to occupy as a tenant-stockholder of a cooperalive housing corporation
� Have a beneFicial interest in the wst or the right to occupy the pmperry under the terms of a qualifed personal residence wst
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Record number Page
town. (o« iD)
�P�Y in 9uestion:
:eal praperty � AnnuaOy av^essed rrod'le home (IC 6f.7-
it sWCWre is useC tn protlure inmme, desufbe ihe use aM portion
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Tawnship
SignaNre oi tlalman
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f� f �iv 4�(�39
20 pay 20 Lesser of 60% o( the assessed value of the homes[ead or $45,000
NptwilhslaMing enY oNerprovition. Ne sum of the tleduclionc proHded in IC Gf. f-12 [o a mobde lame Ihai is
nat assessed as ieal prvperty or to a menulactured hmie Naf is not assested as real properry maY �� erceed
onahaHl721 a�e assessed ralue Wlhe mobde �ane a manutarluaM frortro.
SignaWreWPUditor �,`^� � i
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Date signed
Date signed (monN, day, yea�
Date signeC (rnonN. tlay,