HomeMy WebLinkAboutHomestead_SeftonCLAIM FOR HOMESTEAD PROPERTYTAX
CREDITISTANDARD DEDUCTION
Slate Form 5173 (R6I403)
PreSaiEed by Ne Departmem ot Lasl Govemment Fina�rce
MSTRUC710NS: See raverse side /or filrng instructions.
� �
ORM � Y R
Hci'o
JU 2 2 �
I(We) itJ certify that on the 1st day of March, 20_
I(We) occupied as our principal place esidence the following described real property for which a Homestead Property Tac Credit is hereby daimed:
I�I (VJe) owned ❑ Are buying under contract
` Have a benefidal interest in the enGty that is liable for the property taxes on the property and ttiat owns the property or is buying under a contract.
il huy'vig om m�Vaq. Fee Sfmple ownefs name
Recordefs affice where coniract is recorGed
Tamship
Taing �t;lrict (c(q; mwn, tawnship)
Record number � Page
r m� nu r � 1 es/cpp�tion Is the Oro rty i question:
-�a� -v f -� L.(J � /� ' � �� �Real pmperty ❑ Mobile Hwno (l.C. 61./-�
I( any porlion of Ne resiOenUal sW chire w Me Wnd nat axceeding one (t ) aae that immeCiatety wrrounds Ihat s Gure is used tn protluce income, describe Ne use anC portion
oi ma ao�ny �cu�ed m aoa„�e ��co�. Qd N�C
�
�G - �a -/a -3a�-o��. �o/- o� s�
''. .� - .. oy'�.,.T'rz�T`i�''s- �.;:��'��`-`STANUARU:DEDUCTION�ALLOWANCEx:�'�y^-:a s-•.�:.�•.�•�v-}•� y{�- n, :••: �'y ci,'�'°'�,h
'.ss�3�� ._m�. '�. . ,..�-, i- _ _ _x..�,iYU'�T..?�-,�r.!«�.m.�-:s-.S.9.��:.&.�'-o�"s."A.4''.�.-4)h±i`tse.E
20 _ Pay 20 _
Lesserof 1/2 Homestead
vauanon w S35.W0
S
Signature of Audilw " Date signeA