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CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
SUte Form SG73 (RS / 10-01)
Prescnbetl by the Depanment of Local Govemment Finance
INSTRUCTIONS: See reverse side 7or /iling instnictions.
FORM
HC10
YEAR i
Tonnship
Tacing dislritt
V�2y�urpbe� /�� �—� I Legal¢�acalpfon y� ( �.,, �_ /!lp�L�e Property N quesiion: '
i L%' �� �lJ \Y �l!/�i�/I � Reai ro e
�J t,� �CJL/ U /0.1 P P nY ❑ Mobile Homo p.C. 61.7-7)
II any potlion of the residential slrucWre w Ne land not exceeding one (7) aue lhat immediately surtounds that swcture is used to produce income, desaibe the use antl portion
ot the properry utiiized m produce income.
'��k�F��$ ASSES50 USEONLY � �; �ar� 'scTRUETAX � �. �ASSESSEDVACUE �HOMES7EAD � � a�NON RESIDENTIAL� i'� ��•
�-?i:.r��.3.�`.*r..�ri_ - -..1�;.;g!-:�. � .?-._.a. .Ti :`•.,ir�.. VALUEi' �v • � AT700%�OF..T7V ,_ ..� VALUE�',sr .. i .'.i-o'.VALUE -�...:F'g% :::
.. _ __ . . ;• _.- ...r�.'.. r�t ::.
Land not ezceeding 7(one) acre immediately "`r 4��.''�` -" *-"�i'§ � s� -�.
surroundingresidentialimprovements. (�) .,.f4;.�_3.�.g`>;,.-.:-^ ;,-.;�
Other land �z) -� `"` " "' '
:ts-� -_t'•� '"-e
Tdal land (line 1 plus line 2) (3)
Dwelling (4) ',�3..� , t ✓� { �ti i�,;,,� � �. _•
Residential improvements T� • .-f '��'Mr r � �a. "i
Gara9e 5 • � .s" �t�`�'��^%��= � s�: �
� � �4k �.+5�� �..,� �.P"( �� -
:1::.--.,.
Other improvements (6) - _�.n�: �;`
Tolal improvements (line 4 through line 6) (7)
TUaI value (line 3 plus line n (8)
I hereby certify the above is Irue, correct, and Signamre o�.usesmr oate signea
mmplete.
Vesifying actbn - Sfgnature of Auditor Date signed
20 _ Pay 20 _
Lesser of 1/2 Homestead
ValuaGon or 56,000
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