HomeMy WebLinkAboutHomestead_Stewart (11)r�;,-•it�a By S�.ate Bc�rd o* Tax ' �sswners
CLAI(�1 FOR HO��STFAD PRO°�TY TAX CR�DIT F0� YEA�R 19_
ScE BACK FOR LFI,LING INS7RUCTIONS
^. ,'T�e) �„",r"' °'�.� � T`y Q.-`1 certify that on the lst day of
� h, 19 , Z. (4�e) occupi as our princioal ace or residence ti� follaaing descri.tx.d real
�.�erty fcr which a Hmrestead ?mperty Tax Credit is hereby being clai�:
Z, (W°) � ��
� are buyinct urrier contract
� have.a beneficial inter/e�st in the ta�mayer
Proozrty Descriotion_ in b I 8� o n/ Coimty
Taxing Dis`sict (City, Ta:n, Zbwnsnip) :
pp�-�1872�
l-'RTo K A Toarst,in
�zsc�l r7wncer or legal descriotion sirnun on tax statenent:
�i' /Jc�) ��4 32=1 -io . (e/ /Nt.
I' DllV1S1rJ o,z mr.:sact: Owr.ers nan� (-e= si.�le owns)
Contra� re:ord�i in P�co�ti_r's O'*ice - I��cnrd Db. pzq=
S_ 'u'1V DOI'�OR Of `ll° i°51IIPSltldl S�LLCtUT2 Oi ill°_ ZdRd� RO� P3�...E'2C�1P.Cj OP° (1� dCI°_ `�[ld� ^
ir,r.�iiately suizo�s3s ti�at stn:ctur= is used tn. nrom:ce incane, des�ibe th� use and �-tien o_
�i:e pmne_*-ty u�,ilized to produce irroire
r:r�+ ou��r �Lm=ies in k�hicn indi«d•�;�.1 cHms or is buying n..al property: O�im'•_v 'I�hz3shio
�reny cer`�ify the anove statenent is true. �rrect arzi �1=te.
�. Street Pddress G-tY. StatP ar� Zip Cod�
"Si�na�t:*°_
*Individu3l eitner a-.�s or is kuying imer a mn`�ra� that provida ne is tD oay �.
p�v�,r�y taxes on th_ residence, or nas a b°�°ticial interest in the ta.may_r.
- FOR ASSESS(h?�S US� ONLY -
Tru_ Czsh
Val�
iarri not ex�di.n4 1(one) acre inmediately '{1) o�Oc�
s�sro�3ing residential iic�rovetents
oti�--r I,and (2)
To�al Land f3)
P�sidenti.al Iimrovesr�its g„�l�q (4)
O`�.['.°S II[9ZY7VHR�,.S1tS
Garaae (5)
Tpta], ( 6) o� � SO D
�%�
� '. 7r�zvvements - Line (6) plus f7) �Zs (8) (8)
I n�se'a}� c.=s-tify tns ai�ove is tn�, correcl:.. and cacroiece.
- AC; iOP; BY AL�ilITnR -
Date:
�.�:"DV�:
Assssed
Valuation
�70
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