HomeMy WebLinkAboutHomestead_SingletonCLAIM FOR HOMESTEAD PROPERTY TAX
CREDITISTANDARD DEDUCTION
Stete Farm 5173 (R6 / 4-03)
ReaaibeE by the Departrnent d Locsl Govanrtbnt Finarwe
INSTRUCTIONS: See rewas Nd� b HYp i�m�8loro.
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FORM YEAR
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� (�'�e) �certify thapYD�+� 1�0�6i March, 20_
I(We) occupied as our principal place oi residence the followi desuibed real p erty for which a Homestead Property � Cf�it��g�jg daimed:
I(We) owned ❑ Are buying under wntract GIBSON CO�N
❑ Have a benefidal interest in the entity that is liable for the property taxes on Ihe property and that owns ihe property or is buying under a conVaU.
I( buying on a�nVad, Fee Simple owneh name
Recortlels ofice whera conVad is recorded
Counry
�`�`�ceba�6g� o0
N any portion of Ne residenUal sWCWre w
of Ihe property util¢eC to produce incortce.
Record numEer � Page
hip Tating district ( town, t w s
descriP � � Is Ne prope Qu ' n: �
� w�vero O�.,00ne Ho„�o u.c_ b,.,-n
not exceeEing one (1) aae that immetliatety wrrounds that swcwre is used b produce income, desaibe the use and portbn
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