HomeMy WebLinkAboutHomestead_FerrenCLAIM FOR HOMESTEAD PROPERTY TAX
' CREDIT/STANDARD DEDUCTION
♦ � State form 5473 (RS / 10-01) -
°N Presaibed by Ne Oepartment d Local Govemment Finance
INSTRUCTIOAJ,�.� See 2verseside for filing instructions.
FORM YEAR
I�'HC�o �� -�i
� 1L �1.J i�J }�
�ul 18 2003
I (We) / certify`lliaCon the;lst day_of�March;20%
i_mSf�Pi r,.���. ��, i
I(We) occupied as r p cipal place oi resid ce the following described real property for which a Homestead Property TarCredit�is�tieieby�daimed
❑ I(We) owned ❑ Are buying under contract �
� Have a benefidal interest in Ne en6ry thal is liable for ihe property taxes on the property and that owns the property or is buying under a wnVaU.
If buy4g on contrad, Fee Simpie ownets name
Remrdefs ofice where con4aq is retordeC
7o.mship
If anY Dortion al Ne residenilal sWCWre w the land not ezccedHg one (1)
of Ne propeM utilaed tn produce income.
�� I
�-��,s-,.,.o
County ITavnship
I hereby cerfify the above sWtements are W e, corteG and complete.
�}�ssjpumberand streef, city, atafe, ZlPcode)
Tsing OiSUid (ciry, tawn,
Is the pmpE
immediatey wrt unds that s�
� 3/�P�-
�,-��.�
MANT;IN,'OTHER`COUI
County
�gn.�teRlof t�?i�ant _
Record number
Page
Real proporty L7 Mobile Homo (I.C. 6f.1•�
ire is used b produce income, descnbe Ue use and pwtbn
Tavnship
20 _ Pay 20 _
Lesser of 1f2 Homestead
Vaivation or $6,000
$
Date