The URL can be used to link to this page

Home My WebLink AboutHomestead_Glenn�M HC 10 1979 �scxibed.By State Board of Tax Cartnissioners tU uc.-' r11a1 lll u.ifJlii:;��c CLAIM FOR H(�ESTEAD Pf�7Pf�tTY TAX CRmIT.FOR YEAR 19 8�f. . ✓ SEE BACK FOR FILING INSTRUCTIONS ...` QrC�- D OQ�p �-O[7 �� ` ��.,.,,, � ,�� oertify that on the lst day of �, 19 . Z, (47e) ied as aur principal place of resadence.the follaaing described real ,roperty � which a Ha�astead Pzoperty Tax Credit i.s her�by. beirr3' r� �;•� ; - .. ; _. , cwe) ❑ � . .. "" ❑ are buYing tuL:� �rttract . ' .. . . ` �: : . c��. Lc:?. <_ : : c .. � have a b�,eficiel � qt. in.the ta�aYer_^ ,. ,_��,Y. ' . :: - �. . � �` � ° �/�..�.i.�.� ., .. :, .. . >roperty Descri ' in Qo�ty . ��P .... ..:..:.. ... . �axing Di.strict (Ci Toc�m. 7bwnshiP) : . �arcel ihmiber or legal des¢i�tion shown on tax tsmnt: �. E:''�;S�E�.,�;:;?�.z-lo_: 9.�.-.... . . .... --- .. � � - .. � � � � .. . . .. - ::,. . �:-�_.: T- . if buying on oontract: Owners r�me'. (fee sit�le owner) . Oontract reooxded in�I�aoxder's Office -. Rec�d No.: �� . Page [f any portion of the residenti.al structure or the land. not e�eedi� ane (1) acre that imnediately surroimds that structtiae is used ta pro�ce i?�caoe, d?scribe the use anl Portian of �e property utilized to pznduoe i�one � arty other aoimties in which individual owc�s or is buyu�g . real . ::: %: Ooim �'': ' Ta�rrLShiP . .. ...., _ ....,.. ,i,..... _,. . , -P?oPertY cr� . ..�� .. .. - ,. :_.. . _. .... : .� ..� ..._. . . ,. . -.: .. :.... . ;t' ,i,.. : �..:: . ' . . ' ' i��C(�'.i::�_..�1.� c: .. . . - . .._ �`v.i:,".�.1r.��2y:'ti##j[ :. . . - `C'1' `' � . . .�re1�Y certifY the above staterent i.s true. oorrect and o�lete. ;;• :`'.: r:._: ;. -; : . .. . ,. :. . ... _ , �gignatlue ,�_ :. . ;�:: .__,;;:. �<:Street Address .r.,::..:,.::tsn>� --; :,.-.City�.StatE az�d 2ip Nde *Irriividual eitJ�er aans or is buying imer a oontract that .provides he is to pay the .. psoperty�taxes.on the residence, or has a beneficial interest,in;the..taxP3Y�• . .. . .:• _ . . , . .: , .. . . .. :.,... � : � . �..; . ,. ,:, :r - FOR ASSESSOR S USE ONLY .. ; .4 ., ,, . . .� '�:;'".... . .:.. .. . . � �; ..Tti� Cash ,?::;;.�: Assessed . a' Harestead . . _ Value Valuation " . Valuati.on Land not exoeeding 1(one) acrn imrediately siu�xoiu�ding residential i�mvanents . (1) ��b �' : • �o� �O Other Iand .: . ,. . (2) . ,.. :.: �: ;. : _ . 4� . 'Potal Land •? �O (3) �":`: r�siaential 7npxovanents - . �u� �4� :.. � rQ``'.`. �_ '. • . . . . , Garage (5) � :::.::z;. � c6� S . /o =`:: �. orher I�iwenents - : �� - / So `::.:: �... ;: ::• ` p . �' i:') Ic�n.vv�anents - Line (6) Plus (7) equals (8) (8) � ��B��T�.. (i�� Da, . -1=�e�ry, certi.fy tha above is txue. .00sz�ect. and oa�lete. -- - - ' ` : '. � . ,`� . . ture o Assessor .. - Date _ . : � - ACTION BY P.UDITOR - �