HomeMy WebLinkAboutHomestead_HippCLAIM FOR HOMESTEAD PROPERTY TAX
' CREDITISTANDARD DEDUCTION
t�- � State Fwm 5473 (R5l 10-01)
°N Presaibed by Ihe DepartmeM of Local Govemmem Finance
INSTRUCTIONS: See reverse side /or filing instructions.
FORM} YEAR
H�i fi 1-�
� tl /
Arrc 2 2 2003
� - �
� M'e) , cert(y that on'tli� istd�y�of Ma�ch; 20_.
I e occu 'ed as our rin ' � lace oi residence the followin de 'bed I ro e for which a Homestead Pro e T� Credi isFre�reb� daimed R
,�M,/�� ) W P P 9 P hY P MY �� Y
���7 (We) owned ❑ Are buying under wnl2ct �
\
� Yiave a benefidal interest in the entity Nat is liable tor the property taxes on the property and that owns the property or is buying under a conVaIX.
If b�ry'vg on conirad, Fee Simple owners name
RecorEefs office whe+e mntrad is remrdetl
County
Tavnship
Parcel numher L�al d�e�scrip,tl,on /� Is Ihe
�j(��i -' (i�a�i�--� o�aQa U:C.uo /�� uc.
H any portion o/ the resiEentlel atructure w Ne land na ezceetlinp one (1) ave thet immediatey surtounds
ot Ne property ulilized to produce income.
County
I hereby cerfity the above statemenls are We, correcl and complele.
Address (nnumber �an/d sbeef, ciry; sfafe, ZIP code)
� /7 /.�-f: % �nv �g / f2
Recard number
fown, township)
Page
question:
�I DropeM ❑ Mobiie Homo (/.C. 61.1-� .
te is used W protluce inmme, desaibe the use antl portion
20 _ Pay 20 _
Lesser of 1/2 Homestead
Valuation or $6,000
$
SgnaWre ofAudita �� ' � D � n I Date sgneA