HomeMy WebLinkAboutHomestead_Turpin (5)WflM MC 10 1979
Neu�ioea By S�a�e Boa�a ot 7ax Commissioners
CLAIM FOR HOMESTEAU PROPERTY TAX CREOIT FOR YEAR 192�
io Be FileE In Duplica�e
SEE BACK FOR FILING I{JSTRUCTIONS
� . � . . .
�(yye) �onif![A /SEiTt/ ��RuREL �RYE TRPinJ certify that on the tst day of
�larch, 19� I, (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) �wned �h�� �0��9�
❑ are buying under contract ��
❑ have a beneficial interest in the taxpayer /�
Property Description in �as��✓ Count ' �T�'rA Township
Taxing District (City, Town, Township): l��oKA %u/P
Parcel Number or legal description shown on tax statement:
f,t S a �E�� /9-a7-/o . 97/ 4.
If buying on contract Owners name u� simoie ow�en
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:
i hereby certity the above statement is true, correct and complete.
�� . �A L • 1
A��tC55
County
�/ V ,
Township
Giry. S�a:e ana
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 1(one) acre immediately
surrounding residential impprovemeot
Other Land �� FI �" � V �
9
Total Land �
Residential Improvements��y 2� jg�� Dwellin
9
�I Garage
�� � �'��tiu.Q� Total
Other Improvements � �iLi91?0??
.T��'-' Improvements - Line (6) plus (7) equals (8)
ii: by certify the above ys 3rue. correct. and complete.
Appro
True Cash
Value
��� Sc o
(2)
(3� �'o 0
�a� /G 3Go
(5)
(6) /C 3Go
(�) —
�g� /�, 3G o
G[�R�I.i l'11�7�7r[�73
Assessed
Valuation
/%D
.
��j/��jjj/
���jj�����
,
� �O
Homestead
Valuation
/�o
� � � � � � � � � � � � � �� � � � � � � � � � � � u
- - j����j���
.�
/ ,
" .I
Date: June 21, 1979