HomeMy WebLinkAboutHomestead_Wright (6)FOR61 HC t0 t979 To Be Filcd in Du0licate
RewiiOeC By S�ate BOdfG 07 Tde COrtIrtIf55f0�P�5 � 1�—�(� �� � a a � a-��---, .
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CLAIM FOR HOMES EAO PROPERTY TAX CREDIT FOR YEAR 19 7 9
SEE BACK FO�NG INSTRUCTIONS
�' (We) ���`-��"� � �t t• ���""�L %� certify that on the 1st day of
�vtarch, 19 � T I, (W occupied as our principal place of residenc the following described real property for
which a Homestead Property Tax Credit is hereby bein9 claimed:
I, (We)�owned �C� ,�—` —�� �p �I�
❑ are buying under contract �T
❑ have a beneficial interest in t e.taxpayer
Property Description in �� County �� Township
Taxing District (Cit�ewrfTownship): ��1
Parcel Number or legal description shown on tax statement: /
l• 23A
�d 5 w ��� � - � - � o�.a3,��
If buying on contract: Owners name '1ee
Contract recorded in Recorders Office - Record No
If any portion of the residential structure or the land, not exceeding one (7) 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.
� ��, _ � 0i � �
County
Township
ana
(/ ` G-as-� 9
' 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 im�ve�ents � � �
Other Land
Total Land
Residential Improvements
Other Improvements
�UN � g 1979
Dwelling
e
�'� a, .
AUDITOR
True Cash Assessed
Value Valuation
�S a �o
(1) �- � 8-c�
(2) — � —
(3) �
�4� ��'�
�5,
�6,
(�)
Tr•�� Improvemenis - Line (6) plus (7) equals (8) (8)
I�by certiiy the above is true. correct. and complete.
Signamre o1 Assessor
ACTION BY AUDITOR -
F,._
Homesiead
Valuation
/ 7o--�a
6 — i ° — 7 9
oa:�
Date: � L'< / ` 1-
/