HomeMy WebLinkAboutHomestead_Collins (6)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Steta Fortn 5C73 (R614A3)
PnsaiEed by ihe Departmnnt of Local Govemment Finance
INSTRUCTIONS: Se¢ raverse side for filing instructions.
� FORM 1'— YEAR _
HC10
I(We) �L /�-i(/ � U �liv �%�L' certify lha�t on th� Tst�d� of�AM1�d�/20_
I(We) occupied as our pri 'pal place of residence ihe (ollowing described real property for which omestead Property T�a-�c.C„redit is hereby daimed:
� I(We) owned ❑ Ne buying under contract p�/�� ,� �
' Have a benefidal interesl in the entiry that is liable for fhe property taxes on the property and �hat owns the pro(ieciy'ul is byying�u�dnr�a�tr�U.
It buying on conUad, Fee Simple owners name
wnVacl is recorded
7axnship
PafGel}�urrbei
U��ro oa�a�-cx�
Tacing dislrict (city,
F2 �—r� ��=�e
H any portion of Ne resiCantial sW cture a the land not exceeding one (1) aae that immeEiatety surtounds fhat
ot the propeAy utilizeE lo produce income.
�Q�.e�.Q-� c��-oS-3a-��o-ooa.��i_a��
Tavnship
I hereby ceAiy the above statements are W e, conecl and complele.
(number arM sbeet, cey, stafe,
Rewrd number
Page
Mobile HOmo (I.C. 67.1-�
is used W produce income, describe the use and ponbn
Tavnship
20 _ Pay 20 _
lesser of V2 Homestead
ValuaUOn or E35.p0p
Date