HomeMy WebLinkAboutHomestead_Brewster.��;�.u�c g� 5�.:�e Boar3 of Tax Cmmus='ion_rs
CLAI(�1 FOR Ha��STFAD PROPERTY TAX CR�DIT WR YEAR 19��
T, '-Yrle) �%�1�-ai� /� 9� .:/i
�ch, 19_, Z, (Fle) occimied
�p°..rty for which a Hocr�stead
SEE BACK FOR FILIN6 INS7RUCTIOPlS
� Q• �h�r2���J �Y that on the lst day o•`_
as our princioal olace or residence the follaaing described rezl
Ptoperty Tax �e3it is h�eby being claiu�:
I, Qv'=_) �aanai
� are buyinq tu�der contract
� have a beneficial interest in the ta�may
Pro�rty Descriotion. in
Taxing District (City, Ta:•n, ZbwnshiP):
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Pescel iha�iDes or legal descriotion snown on tax statanent:
�%% D7f/f-a-e-..�K� �/ ^�
I_' buvina om m�tract: Oo.r.=ss nam� (=e_ sicr�le owner)
Co^�.ract recom�i iz P��*der's O'=ice - R�a_rd i�. Page
Z: any cor�-�.ion of `he residen`ial scn:cture or `he land, r�c e�cea3ing or.e il) acre that
i.r,n�iia�ely surro�s that stn�cture is us� ta pmduce incane, des�ibe tY�w use an3 mrtien o_
ti:e oroo�.sty utilized co produce ir�ome
pny o�;��- mim*_ies in which individi:al owns or is bvz�ing r=, al nroperty: ��:iv 'Iv.,:vhiD
�'r.��y
atove tatanent is truep, wrr �t ard com�lete.
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na�ure S`seet Adaress u-y• J1°� °•�• ��=' •••••°
*Indivi.d�7. eit�r oc+�+s or is buying lm_r a c�ntract ti�at p�ovid� 'r.e is �.� pay
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p�o�sty taxes on �,he resic�nce, or has a neneiieial in"tesest in ti�e taxwy°r.
- rC1R ASSESS(�t�S USc ONLY -
?rue Cash Pssssed Iiar����3
��z�� Valua*'ion Valua�_oa
Lan3 not ex�in,�qal�;on=) Facre '�ately �J'o
sisrourrling resid"�ent�al�i�z.�� "�` �s (2) /� � � � � �/%
Oti�er I.and Q �
r i JU �� ' /�j�.
Total Land «�� �' (3)
Pesidential I�vetmnts - . � Dwel�;n� (4) " // //� � /�
� �s:. � /
Avp1�OR Garaae (5) / /
To;a1 c6) °%��0 3o zO
C`,..i��*- Imarovanents (7) / / /�
• o us ��S te� ca� ����� %�
Tc Ir,��-w�ients - Lin.. (6) Pl ( ) _
I h.ere:ny c.sti'ry tne above is true, correc" arid c�m1eL.
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