HomeMy WebLinkAboutHomestead_Aders? R�� i CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
1��• Sute Form 5473 (RS / 10-07)
Prescn6ed by the Depariment of Local Govemment Finance
INSTRUCTIONS: See ieverse side !or (ling instructions.
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FORM
HC10
YEAR {
•i:,,;�__�� rs,�:.-� . CERTIFICA ai itmtni < . g� �.;g.,g�a' n. i.
I(VJe) ceNfy that on the 7st d���Na�chj2�
I(We�yecupied as our principal place of residence the following descdbed real propeny for which a Homestead Property T�c.Credit is hereby G/ai/med:
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Q I(We) owned ❑ Are buying under conUact
.,� Have a bene5cial interest in the enlity ihat is liable (or ihe property taxes on the property and that owns the property oris�buymg�under� a contracL„
•rt�i�' .3.E�.`�,t'i�! c :r-: ? "' .,`"-r� '" :CONTRACTRECORDEO :•.^ . r ....i �s -. •
If buyirg om m�vaa, Fee Simple owners name
Remrders office where conUact is recardetl Rewrd number Page
Counry
If any portion ot tha resiA
01 the property utilized to
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Tavnship Tmcing tlisiric� (city, fown, township)
Legal description Is the property in qu '
Q 0���t- W JJ li.� �—�—/ I r' �i a�oaem ❑ �,wn�ia Homo u.c. �-�. �-��
shucWre or the land not exceeding one (1) atre that immediatety surtounds thai swUUre is used to produce income. desaibe Ne use and porlion
ice inwme.
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