Homestead_Bryant (2)� N� � CLAIM FOR HOMESTEAD PROPERTYTAX
CREDIT/STANDARD DEDUCTION
`� � Sfate FO(m 5473 (R4 / 8-00)
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INS7RUCTIONS: See reverse side for filirg insWC6ons.
FORM rf YEAR
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I(We) �!� certifylhal on the 1st day of March, 20
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I(We) occu � d as our princip I lace ot residence the follmhng de ibed reat property r which a Homesteatl�Property Ta� Credit�is hereby da"vned:
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❑ I(We) owned ❑ Are buying under contrad G' " �BSO?V COt��:TY A�pITOR
�Yave a beneficial�interest in the entity that is liable for the property taxes on the property and that awns the property or is buying under a contraC.
116tryirp on conVacC Fee Simple owners riame
where contract is recoided
Garcel num r �j� Legal d n .
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If arry portion of Ne resitlential sWUUre or the Wnd rrot exceeding one (1)
ol the property utilize0 ro protluce incoma �
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Record number
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acre Ih t immedia ly surtounds,that struUure is usetl to produce mmme, de!
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Page
the use antl portion
20 _ Pay 20 _
Lesser of 12 Homestead
Valuation y� $6,000
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