HomeMy WebLinkAboutHomestead_Gilbert (5)FOBM HC 10 7979
hescriDeO By Sute Baartl af Taa Commissioners
CLAIM FOR HOMESTEAD PAOPEATY TAX CREDIT FOR YEAR 19'�
To & Filed in Wpliwte
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Stt CAGK rUH hILING IN51 HUGTIONS D��� � O �D
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�We) �-�^'�� Q- -�� � ce�tify that on the 1st day of
arch, 19 I, (We) occupied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
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Property Description in i�,l�
Taxing District (City, Town, Township):
Parcel Number
If buying on contract: Owners
Township
or legal description shown on tax statement:.
i/"-.¢�cJ" �/+�aY . � / �laX+ :
Contract recorded in Recorders Office - 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.
� /.' _ �% _
County
Township
ana Zip CoCe
' 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 improvements
T�otal Land �� � � � �
Residential Improvements Dwelling
JUf� 2�: i9i9
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tal
Other Improvements // AUDITOR
T��-' Improvements.- Line (6) plus p) equals (8)
I�oy certify the above is tr� correct. and cor�lete.
Signawre oi Assessor ��� �
True Cash
Value
c,� ��G o
(2) —
Assessed
Valuation
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Date
Date:
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Homestead
Valuation
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