HomeMy WebLinkAboutHomestead_Hyneman (2)ea 9� S:a e tlaa a oi a. Go n n ssionea
CLAIM FOR HOMESTEAD PROPERTY TAX CREOIT FOR YEAR 19 ��
✓
SEE BACK FOR FILING INSTRUC
�J� /) '<d°`,"'
.(we) � " n, � . . . _
srch, 19—� I, (We) occupied as our principal place of residence
hich a Homestead Property Tax Credit is hereby being claimed:
' ((We) ❑ owned
\ � ❑ are buying under contract
❑ have a beneficiai interest in the taxpayer
o �.
Property Description in � -�-Q� �
Taxing District (��r�� r��.�n Township):
Parcel Number
If buying on contract: Owners name "re ""'°1e
�ePtify thai on the 1st day of
Ilowing described real property for
b06 -bDSal
nty Ou-�--k-�-- Township
or legal description shown on tax siatement:
��L� �.� �-� G
Contract recorded in Recorders Office - Record No. Page
�
If any portion of ihe residential struciure or the land, noi 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
Any other counties in which individual owns or is buying real properiy:
� hereby certify the above statement is true, correct and complete.
�� �
:� � �-t-_ . , a� � ��o „ �-�.,,, , � R � i�� ;.
County Township
�,� 70
� i 'Signamre � Suret nm�efs ' � �%/�ace anc Zio �de
' �- t-�, � Y 7 y
' Individual either owns or is buying under a contraci that provides he is to pay ihe property taxes
on the residence, or has a beneficial interesi in the taxpayer.
- FOR ASSESSOR'S USE ONLY
Land not exce ng (one}� acre,immediately �
surrounding re�enti� imp��ovem.�ts ���
Other Land
Total Land _�!;�? :f i�;�i
Residential Improvements Dwelling
%//' ! "_L�__
� " Garage
Ji , � l ��i.�; :` �t:
� p�;-;±';;�;, Total
Other Improvements
Tr��� Improvements - Line (6) plus (7) equals (8)
aby certify ihe above is true. correct. and complete.
r �„ `
�
_ ' -"� `,"-r't�-°-'�
$iOM�u/e` O: ASSe530r
True Cash
Value
��> aa��
(2) —
(3) 02 a (c o
(a) a s 2 i o
�5) �
(6) � S.2 i c
(�1 —
�8� a sa . o
- ACTION BY AUDITOR -
Assessed
Valuation
7 Sc
�
- � -
o,:,•
Homestead
Valuation
7Sc
� ,
Date: —�P=�G=_/ �—