HomeMy WebLinkAboutHomestead_Wilson (7)FOFM HC 10 19i9
Presai0e0 By $Iate BoatO ot ia. Commissfoners
ta Be Fi1etl in Duolicate �,
CLAIM FOR HOMESTEAU PROPERTY TAX CREUIT FOR YEAR 19Z
SEE BACK FOR FILING INSTRUCTIONS
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(We) , certify that on the 1st day of
�vlarch, 19._1�, I, (We) occupied as our incipal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned 6D�-Qa�(pS
❑ are buying under contract
❑ have a beneficial int�gr�e�s�t in the taxpayer
Property Description in ✓""""`°-'^ County ��-`-``yu Township
Taxing District (GiLy�Iewrr, Township): �
Parcel Number or legal description shown on tax statement _ �
(l�f � �" ��y �e 5' - � —� o ��O �S�
If buying on contract: Owners name �`� ""'we °"ne•�
Contract recorded in 'Recorders Ofiice - 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.
�3
Aatlress
County Township
Ciry. Stare anN2iv �e
� � /Q79
�/'�ndividual 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(one) acre immediately
surrounding residential improvements
Other Land �i - �'7
Total Land t�k�d � � �'1_ �
Residential Improverrf�fits �� �d
Dwellinq
JUN 2 = i979 Gara9e
�j / Total
Other Improvement5�� • l�
/ AUDITOR
T�Improvements - L rie (6) plus (7) equals (8)
I eby certify the abgye is lrue. correct. and complete.
Signa:ure ol Assesmr
True Cash
Value
��) y o c�
(2) ��I--�
(3) /�-8-
l4) J�7S�
cs� —
�s� / �� S�
��� 3 s�
(g) / `�/ o 0
Assessed Homestead
Valuation Valuation
/70
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Co—/y-79
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Date: —����—