HomeMy WebLinkAboutHomestead_White (9)ResuiOeJ tly Slaic IfuaiJ al CLAIm SFOR NOMESTEAO PROPERTY TAX CREUIT FUR YEAR 19 ��
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�(We) � p� � t/'�'(�.Q)(/C�pyy���.uwlce, ceiiily iha� on the 15t day ol
M� -19 6 I e) c pied a our pri el place of residence lhe lollowing described real pioperry for
wh��a Homestead Property Tax Credit is ere y being claimed:
I, (We) L1YOwned
❑ are buying under conlracl
❑ have a beneficial interest in the taxpayer
Property Description in
Taxing District (Ciry, Town, Township):
Parcel Number'
o �a.o�6 ✓
00 �"
Township
or legal description shown on tax statemenL
('r�.�.vw�.4�-c-b-> v �.Q � �—_---
�"' � �� Ilee s�mo�e owneq
If buying on contract: O,;wners. name
�` �..�, �.��n �--9 �� .
Contract recorded in Recorders Of(ice - Record No. Page_ —
If any portionjd(�'t�Se�resiifeni�al structure or the land, not exceeding one (t) acie Il�nt inunedialcly suirounds thal
structure is used to produce income, describe the use and portion ol the pro��eity utilized to produce income
�.vn.i �' YNi<.re
AUDITOR d
Any other counties in which individual owns or is buying real property:
I hereby certify the above statement is true, correct and complele.
County l ownship
�,,,. �,:,,� ,�,,, r,,,
Individual either owns or is buying under a conlracl lhai provides he is lo pay the propeity taxes
on the residence, or has a beneticial interest in ihe taxpayer.
- FOR �ASSESSOR'S USE ONLY -
_and not exceeding 1(one) acre immediately
surrounding residential improvements
]ther Land
fotal Land
Residential Improvements Dwelling
Garaye
Tolal
True Cash
Value
[O1
12)
(3)
l41 —
�5�
(�l
Other Improveinenis ���
Total��rovements - Line (6) plus (7) equals (81 (8) ____—_
I hereuy certi(y the above is true. correct, and complete.
S�gra�u�e ai nssesso�
- ACTION BY AUDITOR -
G�na.-!� � �
A$SCSSCCI
Valuation
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Homestead
Valuation
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