HomeMy WebLinkAboutHomestead_KranitzFORM HC 10 1979
�ewiEM By Slaie Baartl ot ia. Commissioners
To Be Filed in Uuplicare
CLAIM FOR HOMESTEAO PROPERTY TAX CREUIT FOR YEAR 19�
SEE BACK FOR FILING INSTRUCTIONS
�(We) ��''^"w �%�L�. certify that on the 1st day of
��larch, 19��, I, (We) occupied as ou� pnncipaQplace of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) C3'owned .
❑ are buying under contract
❑ have a beneficial interest in .the taxpayer
Property Description in �
Taxing District (City, Town, Township):
Parcel Number
If buying Ofl contract: Owners name Pee simpie ownerl
p0�'Dlly�
nty `PTG(�t.e�c� Township
or legal description shown on tax statement:
��,�, ,L�_Lld o�s�/
Contract recorded in Recorders Office - Record No
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
Any other counties in which individual owns or is buying real property: County Township
� hereby certify the above statement is true, correct and complete.
�i ^ � v%670
/o %�� �. � -
'Signature Sveet Atltlress Gry, S�ate ana Coae
�-/�- 7 9
' 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 the taxpayer.
FOR ASSESSOR'S USE ONLY -
Land not exceeding 1 (� ��m��
surrounding residential i o m ts
Other Land
Total Land
Residential Improvements
�
Other Improvemen��
JUN 2 u i979
L� —f� Dwelling
/ (�u�2�f�iG6arage
AUDITOR _ . ,
Tr�-� Improvements - Line (6) plus p) equals (8)
I.�by cerlify the above is true, correcl. and complete.
True Cash
Value
11) _/ODU
(3) �jjDO
(4) -- �7��
�s) � �J�&, o
- ACTION BY AUDITOR
`f� �
�ssessed Homestead
Valuation Valuation
_33�
% –/�'% `/
oare
Approved:� � ����zo; Date: —L��z�