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HomeMy WebLinkAboutHomestead_Weaver (3)i,Ullfl fUil fIU'L�ICtU t I�Uf"CI�� i i�v� �i�ui i i vi� ivu� i_ ; � �. SEE L3:tCK FOR FILING It•ISTRUCTIO(�7S , ��. v/� r, '•., ;_) � y. '��. '�� ' certify that on ttt��lst day c ���.�ch, 19�, I, (s•1e) ecc�iEd as our princi.oal olace ot residen� t}ie folla�uing described real r�ror_rty .�or �•,ruch a I!mr�stA,� pmp°,s�y Tax Credit is herel�y lp,ing clai��d: f l, '�� � �.Y:�� . ' � � � , . . . Nj,�I7f� . � are b�rfinR urrler crontract U<r4� `' , � have a i�.lzeficial interest in ;he ta.�payer , rro�erty Desc*_-io;ion in ' J�� �ut1ty �O� . � ' 'lb„��;tii I '?'a>:ing District (City, Ta�n, 'Ib�,v:istup)_: i ?�scel i1w-�il,�s ' or legal descrip -Lion si��m on tax statamst: � �;� IfIJJ��+ ��-1-I� �.O`FAC. ! I= bu'.�ina on c:wn�ract: Ow-n_rs rr3n� (�ee sirrrole c�•mer) ' - _ _ . i Con�sact r�orda3 in.P°mic?°r's 0iiice - P�card Ib. Paoe ; I� a;r� o�r`�ion of the resitiential structure or t��e land, not e��esiing ons (1) acre tt�at i,-�nr�cliately surrourLis that structure is useci tn produce incarw_, d°scribe the us_ arzi rortiai o.` u�e o�a�sty utilized to o�educe ir�otre 5��� �--•� �a;� a Ea u � e� � pn:t' o�her �wicies in �;hich incii��dual aans or is bv��ing real prop��ty: �un � 1tr•. ��T1.119 � lat�� ��,s, , 3� c�ti�y� '-�t:e above stat�mnt is tn�e, mrre: cor� - AUDITOR S . � (,��pµPiL� • �'�i : ana' re _ Street Ir�.ress (:.tt�, State, airl Zip Ck.�u -i i *Individi�.al eitln_r a•+'ns or is b�yiiig uner a o�ntract th�it provids he is to pay th_ ; prop°-rty `�.ax:s on tii_ reside�ice, or has a i�n_ficial itit�rest in tti° tar.IuYer. t { - FOR ASSESSOR�S USE OP:LY - Trus Cash Valus ir�cl not e:r°e".in3 1(o�°) acre i-��recliately sur�oui3ing residen�-al inprovei�ts �i�Y?r ji�fyrj � . . � 'S'o�l La�td P� siciential Irp`vv �mn s RaelLing (1) �2) • (3) (4) Garaae (5) Total (�) p��1ior I;roraver.��`s . (7) — 7� ' u��ro�����ts - i�ine (G) plus (7).eaua]s (Fi) (�) _ l� P�.'T� c�;i�y � iie a}.�o:rn is � tn�e, co`rect, arx] czrm�lete. � , �;�stur° or %ss_sscr . _"J:�_�.. � � - ACTI011 Rl' UUDITnit - IUSesss3 Valtiation � �/ /' %/% � � � ��� t° U1i.�?: �� '� �"O Ik.�i�st�.::� Valuati^: i