HomeMy WebLinkAboutHomestead_Stewartr_;cr�i.�c S� S�a�e Ba3rd o Tax Cbnr�=ion_rs
CLAIhI FOR Ha��STEAD PROPERIY TAX C.RDIT FOR YEA,R 19_
� SEE BACK FOR FILING INSTRUCTIONS
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I� •.y�� ,�q� • d- /bh�-.�s,Q:� , certify that on the lst day oi
rch, 19 , I, (we) ..i� as our princioal olace o resid�n� the sollowing desc�ibed real
.� �sty or which a Horrnstead Property Tax �edit is hereby being cleim�:
Z, (h�) � vangi , . .
� are buyinc? urries wntract ,
� have a beneficial int st in,the `�a�mayar .'
Pzo�sty Descrintion. in �/� So �/ ��ty
Taxing District (City, Ta;n, 2bwnship) c
DOI��-DIBSb
/. �4�%K�4 Zbwrshit
��r.�l piwn�er or legal des�iotion si�o�m on tax staterent:
{�. N a ��c.J% 3�.-/-�a Y7.0
Z= bu•�ir.� om m�cxact: OwT:�rs ran� (-°_ s�le ao.:n=s)
Contract r�crd�l � P�coze°r's 0=�ic° - R-��cnrd t3�. Pag=
I= �ny nortion of th= r_si.d_n`ial stn:ccure er �= land, r.o� �-esiing or� (1) a�e ti�t
im�iia�ely surroisrls that struccure is usa3 ta omrn:ce incarr�, des�ibe t� use ani nortion o�
u�e prooA.sty utilized to pznduce iz�ocre
Fny o`s�r mimties in k•:iich individual aans or is buying real oroperty: Co�.. R�+�rshio
i h=rsy c=r`,ify `,h_ ai�ove stat�ent is true, mrrect ani c�nrol=te.
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*Sim,ature Stre=t A�ress Cii.y, State az�d Z_p Coce
*Individu� eit]�r oHms or is buying �er a wntract that provides ne is to pay the
D-o�er�y tax�� on '-�_ r�idence, or nas a beneiicial interest in t2� taxu�Yer.
- FOR ASSESSC�t�S USE ONLY -
Iar3 no_ exceedin9 1(on°) acre i�rediately
sisro�ling �sidential i�rovarents
Otr�.�r I.and
To�,� �a
P�side�tial Irroroveme.nts
c�-, 'r.�r Z�rovanents
� - .
Garaoe
��
Tru_ Cash
Valt�
(1) �oo
cz> .39�0
c3� �
(4)
i5)
c6> �9 i zo
c��
•� '. ��r�ents - Line (6) plus f7) �ls !B) (B)
Z'r.�re�� c=stiiy tl:e above is tn:e, correct, ani o�rol=te.
�, ut::r_ o- Ps=_2ssor
- ACiIOt� nY AUDITnR -
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