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' CLAIM FOR HOMESTEAD PROPERTY TAX
° CREDIT/STANDARD DEDUCTION
` SWte Form 5473 (R6l d-03)
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" Presaibad by Na Departrnant of Local Govamment Finance
INSTRUCTIONS: See revarse side for filing instrucfions.
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FORM
HC10
YEAR
�M'e)�on.—��-�s �'�' i�� {� ��Qx �ewyme� MmY,5ca9Y2�05�cn,so_
I(VJe) oaupied as our prindpal place of residence the following described real property for which a Homestead Prop�rSyy yTr�edit Is ereby daimed:
❑ I(We) avned ❑ Are buying under contract U"` '6
, Have a banefidal interest in Ne enliry that is liable for the properry t�es on the properry and Nat owns Ne ���(�i9�i�j ���Q.BnVact.
11 buyin8 on contrect, Fea Simple ownefs name
Retordefa ofice where canVeq is recorded
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Caunry To.mship
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Record number Pape
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tawn. towruhiD) . '
Is Ne Oroperty in question:
❑Realproperry ❑MOblleHome(I.C.G7.f-n
If any portion of ihe residential shvcWre or the land rrot exceeding one (1) aae ihat immadR� nds Ihat sW Gure'a used to Oroduce income, descn6e 1he use and portion
of Me property utllized to produce income. D,
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