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Homestead_Walden (6):1J21"1 Rl. 1V 1l/! , —"+ °resC.ribed. By State Ba3rd of Tax Oce�[nissioners .... _ � .: : '; � �q � .. � = CLAIM FOR HONESTFAD PROPERTY TAX CRQIIT.FOR.YEAR 19 83 `: ,`a-�- : �. • t � L1 � .. . . . �. SEE BACK FOR FILING INSTRUCTIONS � . ._.. t ti_ ._ �� . _ . . �-�e) ' rI a�-c�.. ��'�-^�-�'����' '�rtify that on the lst day of ch, 19 g3. I, (F7e) i as our princioal olace of_ resulenoe the follaaing clescribed seal ' nroperty for which a Harestead.?mperty Tax �edit is hereby.being claimed: :;_- :. I, (We) �owned � -. ,,' - . . �n : h` -' ^ � are buyinq under oontract � . ' '�' {1�J�� !!/ �VZZlO -. . - � have a .beneficial interest. in .the taxpayer - `.-<-� ' _ , : �,� ,�f Property Description in �r�- aounty -` - 31T �+=%L�- � Zbwnship Tar.ing District (City, Zbwn, TownshiP) : ` °ss_r.-_.�7���.�� .� : I:;�., .... _ : - \7 �"'a... parcel Chm�ber or legal description slrhm on ���nt • •. .__.... _.;;:�-...�'' �/1' %✓E'%y'�'`�3`=i.'=io, : .. � . � '4 '. . .. :i . . .. . ' y } :i'� � . : .` � ' . '. .. , r�' . ., .. � ', If buyina on �ntract. Owness name :(fee simple ciwner) . � Contract rEa.rorded in Fe�rder's .Office, -:.Record No..� •�,�' . . � "' - Page � - � If any portion of the residential structure or the land, not e�eeding one (1) acre that ;. imrediately surroimis'that structure is used tn produce'incane,.describe the.use and portion of .� the property utilized to pmduce irrnme .. . ;-�.,,.�-,�_ -;;- . ' _ .._ _ _.,.,. .. .__ _ --.. - - -- - - - -� - - ... - . .. . ._.-..-...:,--. - . ..-. -:,-:;-.,.:�-:i����. .o-a . . . - . Pny other wimties in whicl'i urlividual owns or is buying real property .�'' �ns1uP _ . . ._. _ _i c. .I- ���.t Y • �i il� '`�f �f�i �i r _ ' r .l:l � - fs�-�!�. i''fil�d _ a� .. .. . ' � . ' y ..: . � > �' � ( s � �f3 ' ) ' � �,:ereby. certify .the above 'statarent is true, oorrect ard .cwrg�lete { � ` , � .���'�Q-(-s�i:,.:: /�-�� �i.n- • '° ` i , _.c`�' _ _x . *Signature :•, u e �:. � . _.: . eet Address , •,, a, t .� s ° C *Irxlividual 'either owns or is, buying imer a oontract� that � provides : property� taxes:on the residence, or has a beneficial'-inte.nest_,in,; ' � " � . a � � ' . - . `. : '' i ��. - FOR ASSESSOR�S USE ONLY : �, , .�.� _ :State and_zip Coae - is � to FaY' the �:;` �,"` ' , �Y�; . i I - -- . , � . . . . . � � �.f . .:li�'s: .. � .1 . . " ' . �M ./���y� t.l :• T�. - . �}��..��y���� , ' ' . ' '_ - . _ . . �:10. 114(� WJllj:l�:. �'' ,N.S�� . 18IIWl.CALL . Land not exoeeding 1(one) acre inanediately, sisroimding residential iit�mvanents �:: Other Iand . - . .:_ ��-"° . . .. - -'_ . . Total Land ' Residential' Inprov�rients � � : - � : ; p,�llinq - - � - - -. . : -.- ° Garaae Zbtal other I�rovanents To;s'j ImPYOVerw-Tlts - Line (6) Plus (7) ?m,�t� �ne eby certify the above is trve.`correct. ' /1 � /.� , � _ � � • �--' • .' = i..��%i ������� . in iiiiiiii..;;%//////////// (3) . . �� , . _..,._;:;,—; (4) ��, .2 a' o,�' ' (5) : ' _ - - '"� %� ' __ . �6)- � • o - D':.:_, - � �r=.,�,.� (7) . ``-'•— _ ...;r��:r:;, (H) .(H) `'. �," o :._ 5: . = arrl oa�lete. �`- _ - •�' .�.:. . : - - ACTION BY P.UDITf1R - . �� ������ � � ������� , ., I:ate - Aooroved: Date: �