HomeMy WebLinkAboutHomestead_Reed (7)FOPM HL 10 1919
Preunbetl By S�aie Boaitl ol ia. Commissioners
io Be FileO in Ouplicale
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 �`�
SEE BACK FOR FILING INSTRUCTIONS
(� (We) - / � � ���-^�"---� / �� • � /�L-� certify that on the 1st day of
�narch, 19 79 I, (We) occupied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned QO �Q _p��ag
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in �-�`-�-��^-� County ��� Township
Taxing District (�owrt, Township): ����-^--
Parcel Number or legal description shown on tax statement:
�f, �i k �, %y 30- .— io / \
(Yr Tn4.t 3 �-/"'o� l �O A• /
If buying on contract Owners name ��ee z�mo�e
Contract recorded in Recorders Office - Record No. Page
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:
�hereby certify the above statement is true, correct and complete.
�
%�
Street AOOre55
County
Township
Yc. �y��, ����a
C1�.Taie ana Zi0 �e
' 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 -
FILED
Land not exceeding 1(one) acre immediately
surrounding residential improve��c� Q �979
Other Land
Total Land �����4u2�
�
Residential Improvements AUDITOR Dwelling
Garage
Total
Other Improvements
'�T�'-' Improvements - Line (6) plus p) equals (8)
aby certify the above is true. correct. and complete.
Signamre ol Asttssor
True Cash
Value
(�) Sc c
(2� $ 7 c
�s> - / 3 70
(4) /3p7o
(5) --
(6) /3 0 7 c
(�) —
(s) /3c 7c
�. g A�n �
- ACTION BY AUDITOR -
Assessed Homestead
Valuation Valuation
/7c
:
/70
Da�e
ApprOVed: � � �J�� Date: —!� ' L� � �;�