HomeMy WebLinkAboutHomestead_Harris (8)PrtSUiEed By Stale Boa�C ol ia. Cammrssianas
CLAIM FOR HOmESTEAD PROPERTY TAX CREUIT FUR YEAR 19�� ✓
SEE BACK FOR FILING INSTRUC/T� IONS. ✓��_��679-a0
i i • n A (1 —7 , • . .
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M��19�, I, (We) occu�iied as our pri�,Eipal place of residern
which a Homes�d Properry Tax Credit is hereby being claimed:
I, (We) IQ owned
❑ are buying under contra
O have a beneficial interes ' th taxpayer.
Properry Description in Co
Taxing Dislrict (City, Town, ownship):
i.�L�cility lliat on the lst day ol
the following described real property for
Townsliip
Parcei Number' or legal description shown on ax stateme� t
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If buying on contract: Owners name "1e s'"'°'�
Contract recorded in Recorders Office - Record No
ye
If any portion of the residential structure or ihe land, not exceeding one (7) acre that inunediately sunounds that
structure is'used to produce income, describe the use and portion ol the proE�erty utilized to pioduce income
Any other counties in which individual owns or is buying real property: County
I"��by certify the above statement is true, correct and complete.
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'Sigwwre . Street ADO�ess � �
Tov✓nship
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' Individual either ��or is buying under a contract that provides he is to pay the properry taxes
���� or� tfie esidence, or has a benelicial inlerest in ihe taxpayer.
�,�� - FOR •ASSESSOR'S USE ONLY -
`i::'' i 1989
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Land not exceed�lA�o�j�ee, re immediately
surrounding residential improvements
Other Land
Total Land
Residential Improvements Dwelling
Garaye
Total
True Cash
Value
l�1
12)
(3)
141
�5� ----
(6)
Othe provements ��� --
Tota`�irovements - Line (6) plus (7) equals (8) le) _____
I hereby certify the above is true. correcl, aiid complete.
Signawre o1 nssessai
- ACTION BY AUDITOR -
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Assessed
ValuatiOn
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Homestead
Valualion
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