HomeMy WebLinkAboutHomestead_Foster\'`tiC 10 1979 � ia Be FileG in Duplicate
By $lale Board o� iaz Commissioners
CLAIM fOR HOMESTEAO PROPERTY TAX CREDIT FOR YEAR 19 ��
SEE BACK FOR FILING INSTRUCTIONS
��We) n�, ��• t�`-�' �• certify that on the 1st day of
/March, 1922, I, (We) occ ied as ur principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) [�owned DO(P ..0�' b%g
❑ are buying under contract
❑ have a beneficial inteQ�reJst in the taxpayer
Property Description in %-�-�-�- Count �� Township
Taxing District (Gity-T-awr� Township): �+�-�
Parcel Number or legal description shown on tax statement:
��. iU ��z. SE�iy 1 S- a- ii , Sa,q
If buying on contract: Owners name �'� ""'°'e °"ne'�
Contract recorded in Recorders Office - Record
If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that
structure is used to produce income, describe the use and portion of the property utilized to produce income
d/,��J�
Any other counties in which individual owns or is buying real property:
certify the above statement is true, correct and complete.
���- /
A�tlre55
County Township
� � y���d
Ciry. S:a;e ana Zip Cope
Individual either owns or is buying under a contract that provides he is to pay the property taxes
_ _ on the residence,_or- has a beneficial interest in lhe taxpayer.
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 1(one) acre immediately
surrounding residential improvements
Other Land � � � �1 �
Total Land ��
Residential Improvements
JUfV ? � i979
Dwelling
Garage
,c.,/ �/��ua� Total
C/�
Other Improvements /` AUDITOR
ri
T�mprovements - Line (6) plus (7) equals (8)
i �, ,aoy certify the above is true. correct. and complete.
True Cash
Value
( � ) ���
(2) —
(3) �_S�
�a� �.�a c
�s� / 9 9 0
(6) � 5 / D_
(�l `�
�s> 9 s� o
.•
i
���������
����������
—� r3o
—`1"��
���
Homestead
Valuation
/7 fl
��������
���������
a — / — %
oarc
Date: