HomeMy WebLinkAboutHomestead_Cutshaw�� ' CLAIM FOR HOMESTEAD PROPERTY TAX
° CREDIT/STANDARD DEDUCTION
ti State Fwm 5473 (R6 / 4-03)
' Prascribad by the Dapartrnent of Local Govemment Finance
INSTRUCTIONSi See ioverse side for (ling instmctions.
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I (WB) � � L(L /
I(We) occupied as our prindpal p of residence Ne following described real property tor which a
FORM YEAR
HC10
IGlerch, 20_
hereby daimed:
❑ �(we) ovmed ❑ Are buying under contract ,1U N 1 3 2005
�ave a benefidal interest in the enUry that is Iiabie for the property taxes on the property and thet owns the property or is buying under a conVacl.
I( buying on conVSC[, Fea Simple owners name
ofXCe whera conVaq Is racorde0
To.mship
� dLiO'— LiJ/ / I�W T 7—/
It a'ry pwtim of Me Bsidantlal structure a Me land rwl esceeding one (7
of tha property utlltzed ro produce income�
Tedng disVicl (ciry, town,
surtounds
Racard numbar
Real proverty ❑ Mabile Home
Paqe
is used to produce income, describe the use and portion