HomeMy WebLinkAboutHomestead_Smith (29)Pesc �e� 9y Slaie Bw�n nt la� f.onmssioneis - �
CLAIM FOR NOMESTEAU PROPERTY TAX CREOIT FOR YEAR 19 �
' "�Ne) �/r v `.0 �-yv'
��:ch, 19 ' �, (We� qc�
which a Homestead Pro; ��
, We) ❑ owned
❑ are buying under
❑ have a beneficial
SEE BACK FOR FILIN
Y G/ ;�-�-►'�-`' S�l���.L/ V ���-�� certify that on the 1st day of
ried as our principal place of residence the following described real property tor
Tax Credit is hereby being claimed:
on� �cl � DO 6 � a 8� o 0
dekP.�t_in(�ihe taxpav�r
Property Description in �"-�
r
Taxing District (City, Town, Township): 1
Parcel Number
If buying Ofl contract Owners name ��ee simo�e owneq
Township
c
��eg I escnptiop shown on tax statement:
-� �`(�. � s -2-( I �c.�v�--
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
struclure is used to produce income, describe the use and porlion of the property utilized to produce income
Any other counties in which individual owns or is buying real property:
certi(y
is true, correct and complete.
Counry
6 � � �
�� .� - .
Township
) , y7�-7o
�7nawm — - • Street noaeess . Gry. S�ate ana Lp Cooe
, . . i� ... �-� ' .
, . ... , ' � . i. . - .. . ..
'�d�yidu_ al eithe�ns or is buying under a contract that provides he is to pay the property taxes
������he residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONtY -
JUN � 5 1989
- (,!/X/11.°1lt7 • /1�Lf'.A�S -
Land not exceeding�GlT(an^e)�acre immediately
surrounding residential improvements .
Other Land �
Total Land
Residential Improvements
Other Improve
True Cash
. . � : ,. ,..� Value
(�)
. . (2)
(3) . �
Dwelling �4�
Garage . �5j
Total �6)
Line (61 plus p) equals (8)
above is irue. correct, antl complete.
(�l
BY AUDITOR -
' t /l , .
Assessed
Valuation
Oa�c
Homestead
Valuation
�
Date: (�! ` � ���