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Home My WebLink AboutHomestead_Hollars.... '..I.�i.'._:V 'uJ Jl.uLl� 1wA�l� Vl 1W� �..u��LL��V��t�l...� CIAIM F�t F�"ESiEAD PROPERTY TAX CRfDIT FOR YEAR 19.�5 x__, �p :� SEE BACK` FOR FILING 1NSTRUCTIONS : • � : I, `�,.�e) �. �' ''. oestif5' that on the ].st day of -ch, 19 . I, -. : Qil as o�s Place of resirlenee the falLohring desctibed real y� which-a..ijmne.5tea�': Psoperty �edit is herpby bei.ag claitoed: z, cwa� p-�a = ��1: � : �:.-::_. _ �� . �j D(� — DOS g3 . . ❑ are b�•ii�g' � �mneract - . , �}� 8�fi�•;.t iicteYest in tha tax{�ayer t ,�,p, � Property Descriptiozi. in ;��4T�,cJ�n - Qoimty �(1 �MIA..� �i1-� 4bwrsstuP Taxing �istrict (City. Zbwn.�o . � - Parcel ihmber , -• or legal descriptinn st�m on tax.8tata�ent: �.. _ �12� On.��,,i-�rrD _ ins I�i ,73oAC_ if buyina � mnttacts O�ers n'�ne (fee si�le ownes) O�Itsact Ieo0lc7ed 1n Reooxtdes's Offioe - Recard No. Fage Zf any porti.a� of the zea�dential s�re or the land. rat�ezceedi�r3'one (1) acce that iimiedlately suriv+mda that stsvcttae is used to F¢nchioe incaoe. deacribe Yhe use and postion of th2 pZppCitj• t�111 uA Cp pWC�l7pg �iG�[B " .. . .. pny othes m,,�,r;� in ,rd�ich i.udiv3.dua1 owns or i.e buyi.ng real pmperty:: �.� .� � • . . .i: : . . . ' . - :,. . , . . . . - - � . �. . : - , . . �' ' - � . . .. . . .. . j �p�r �fyr �g�ebo".��tatere7lt ie tsve� CDiTeCt.8nd oaiplete. . � _ ." � *Irdivldtsal either a.ms or is buyinq tmer. a'mntract that pxovidas he is tio pay Ybe ptvpetty. ta7oe8.On t2se z+esidence� 0= has s benCficial intezest in the taxpaye:. . • - FOR ASSESSOR�S USE ONLY - . ' . � . q�sve Cash Psaessed .. - � Honests�d . � . . Value Valuation :,; ':�Valuati�., Land not e�ooeeriing 1(tl�ne) acae imrediately . ,. .. P, ',,..,w�a��n , . SULI'OlII$1[1Q Ye8�B71C�81}+..t....�...r--- • Il� .3b PO / 0 O�O -�.: ;�'�� D� �o O ��. ` _ _FIL�� . Residential Iap¢ov!ane?ste �•' � - , � - : �: � �� Other I�rrn+snaT�t� (7) 7tr • I�zove�ts - Li� (6) Plus (7) equal.s (B) (8) I herebY �erti$' the aboroe is t[ue� aors�ect. and oanplete• . . . . iiiiiiiiiiii� /,///l/////////////1///' //////.%/////I///I/// ////////i �� . . i ,,,,,,,,,,,,,,,,,,,,,. . ��, /�� Oate . , - ACTION BY pUDITnR - � Q � 1 ,C1 r �r.er�OQ Date: �-i � �S�D � :+wT+oved: /` . -