HomeMy WebLinkAboutHomestead_Taylor (19)fURM HC 10 1979
Prescri�ed BY Slate BwrG oi ia+ Commissioners
ia Be Filea in Duplica�e
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOH YEAR 19 � 9
SEE BACK FOR FILING INSTRUCTIO
(We) %�`--�-�-�� `�' °r� � certify that on the 1st day of
arch, 19�, ,(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 oo�-bi9a�
❑ are buying under contract.
❑ have a beneficial interest in the taxpayer
Property Description in �'�^ County ���- Township
Taxing District (Cii�y—Fewrr, Township):
Parcel Number
If buying on contract: Owners name �'� �""o1e
or legal description shown on tax statement:
� _ !�_ ii - -
i"-
Contract recorded in Recorders Office - Record
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.
� \
County Township
' 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 ON�Y -
True Cash
Value
Land not exceeding 1(one) acre immediately �- 9�°
surrounding residential improvements (�) ��O
Other Land � � � � (z)
Total Land � (3) ��-3'�
Residential Improvements
��t� � s 1979 Dwelling
Garage
ul� i
/'��1�k�a I
Other Improvements
��q�T�
T� improvements - Line (6) plus (7) equa s
I�y certify the above is true. correct. and complete.
Sig�uwre O� ASSf550�
(a) � �2-/0
(5) '_
(6) / 8z� o
(�) /o 0
�s� i g��o
- ACTION BY AUDITOR -
Assessed
Valuation
1��
.�
YalB�nd
Sb ��
._ _ ;
� - /S -7
oa:e
Approved: Q�tGG.��-� Date: G -/ ? - ��9