HomeMy WebLinkAboutHomestead_Evans (2)CLAIM FOR HOMESTEAD PROPERTY TAX
"' " CREDIT/STANDARD DEDUCTION
� µ � SlateForm5473(RSI1P91)
Presuihed by the Department o( Local Govemment Finance
INSTRUCTIONS: See reverse side lor filing insfrucfions.
FORM
HC10
YEAR
�(�'�e) � ( ce tvptryhatrqm�het��ay of March. 20
I(We) occupied as our princip place of residence the following descnbed real pmperty for which a Homeste�d Prop�rty Tac Credit is hereby daimed:
❑ I(We) owned ❑ Are buying under contrad ��/` �._, (/ (/���
�Have a benefidal interest in the entity that is liable for the property taxes on the pmperry and thaLovtns_theproperty r e�buyin9 und�a conVaG.
!Y _. �, r� e�oviJr,
I( biry'vg on contrap, Fee Simple ownefs name
Recorders olfice wnme convaa is recorded
H eny
of the
Counry
of
Tnvnship
�identiel struqure or ihe IanA nW excecdinp one (1) aae Net
tu woduce income.
Twvnship
I hereby certify the a6ove statements are W e, wrted and complete.
9dd�s,5 fnumber arM sUee4 �+�Y, state. ZIP cpdel
Tating tlistrict
County
Is Ihe
Record number � Page
� Real propery ❑ Mobiie Homo (/.C. b1.1-7) .
swcwre is used w produce mcome. tlescribe me use ena ponbn
20 _ Pay 20 _ I
Lesser of 12 Homestead
� V�uation or $6,000 $
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