HomeMy WebLinkAboutHomestead_Taylor (15)GURM HC 10 1979
PrescrineE By Slate Boam ot Ta. Commissioners
CLAIM FOR HOMESTEAO PROPERTY TAX CREDIT FOR YEAR 19 ��
io Be FileO in Duplitate
SEE BACK F R FILING INSTRUCTIONS
�(We) �� " @� certify that on the 1st day of
arch, 19� I, (We) occupied as our prin 'pal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We)�f owned
❑ are buying under contract
❑ have a beneficial inte s�t� taxpayer
Property Description in Cou
l
Taxing District (�iS�-Fawn, Township): �
Parcel Number , or legal description shown on tax statement:
��. N� �� �.�vR�
'z- �t v 3.- i-ia
oo� -oi�a�
C/���� Township
If buying on contract: Owners
o.�e.i
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
, / �/ �
L!/ / �c�.
naaress
� .
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 ONLY -
Land not exceeding t(onpl ar�i�d� �
surrounding residential im;�r�ve en
Other Land g
Total �and JUN 251979
Residential Improvements
�/-�/� ,� Dwelling
`i� • �i / (�uu2Q�rage
%j AUDITOR Total
Other Improvemenis
Tr�mprovements - Line (6) plus (7) equats (8)
I by certify the above is true. correct. and complete.
Signacure ol Assessor
Approved
True Cash Assessed
vaiue Valuation
(�) GJOO
(2) �a3 0
(3) / ��
(a) / 9oSo
�s� . —
(g) / 90.5 0
(�) _ _
(g) / �o So
- ACTION BY AUDITOR -
3 0 0
_yr.._o / o
Homestead
Vaivation
�o 0
&r3-sa'
—���
� — is - 79
Da:e
Date: G