HomeMy WebLinkAboutHomestead_FrederickC�AIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Form 5473 (RB /40;1)
Prescribed by the Department ol Lacal Govemment Finance
INSTRUCTIONS: See revorse side /or (ling insWGions.
FORM YEAR
HC70
��e� � �certify thaE�n the-it a�'y'6f A�1CH� 2�"�
I(We) occupied a our principal place of residence the followin described real ro e for which a Homestead Pro e T�c, r it' re �f� imed:
❑ I(We) owned ❑ Are buying under contract 9 P P� I P� U�� ����-"
� Have a benefidal interest in the entity that is Gable for the pmperty taxes on Ihe property and Nat own's lhe propl M or is buyin 'und¢l,a wntraU.
/ / f //
If buy4g on conVact, Fee Simpie owners name
Recorders otfice where caMract is recorded
Tamship
Tacing
rarwi numcer ],�,� ��+ P �
OO�—O�(J(.J��'-I�( J e v'o0L I —�II I-� IsNe ro
Hany poNOn o/ the residmUal strucfure w Me land nd exceedinp one (1) acre ihet immediatey wrtounds that
of ihe procertY utif¢ed tn produce inmma.
County ITwvnship
I hereby certify the above sfatements are We, corred and complete.
�AcJdress (num6ererM streel,yily, sfate, ZlPcodel n i .
County
Record number � Page
quesGan:
Real property ❑ MobOe Homo (I.C. 6f.1-n .
ire is used b protluce inwme, Oescribe Ne use and portion
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"""��`��"`'�'- ���'�.,'�`,, °,v��3°�„'—; ",_�,�.��STANDARD;UEUUCTION�ALL`OVJANCE;=?`t�'� ''"'""?�,:'
:�.��"��;r,'��",�s--zr _�'",r.'��-_'�����_��
20 _ Pay 20 _
Lesser of 1l2 Homestead
WuaUOn a 535.000 S
siynawre or n oaie�ear D��