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HomeMy WebLinkAboutHomestead_Hornbackcwi��� �a� f{a��r�r� ���P�tT�r -r�z u,wii w� ���t �� SrE BACK FQR PILl�d6 1�lS7Rlh.'TIGNS � I,.,,�°) �. �` (� ��. �� � �ttify th.at an tt� lst day c `'�� oal olac_ or resin.n� tt� £ol]uaing dscribed real t.,�-.h, 19�, .(We) oc�wie3 as ois p r,roc�sty ior 4-hich a t� �oF='�' Tax CYfsiit is h=•eby b�'�ng claucr�i: Z,�: �� . �/9-63a��.�oo � aie bu'j�inq'urr3eS mntrd...^t � hace a b�.nefi:ial int.s��t ' th� ta�9ayer � P�cer''�]' ��-"Tintion_ in y �� lm'�y zoo-mshi Taving Dis�ict (City� Toc:-n, 'Itr..�nshio): 1\�n.«x5�' Pzr�'� t1u-�-.s I I I or l�des¢;gtion si�.m on tax statar=�t: @� \7�LID.�c2, a �o Z_' bu-;in� on cnntract: O�.m�*'s �n� (f°° sir,ale owner) 'J �n'-sact recorcL�zi in P��rder's Ofiice - IZ�cnrd Pb. 5 Paae � Zf arr� r�rti� of the resicential structure or tne land�,rinca�.Va's�ibe tt�lus � mrtion of irrraliat_ly siazn�is that stn�t�se is usa3 t� p�-'e the nroe�_rty u`,.ilized to p�oci�� incrnce . 6�im 7v.:rLSUn Prry o`�her coimties in wnich irriividual aarLS or is bv�ing real gmPerh'= LY � I tt� a1xW°- stat�tt is true. �R� �-.. . � . o ,, ., Str�t Ar�irPCS Ci 'r Stat? alz3 Zit � • O . . . . .. . . . . . .. � '*Tmiv�u���� �i-ns or is ivying i�°r a mntract that �wids }vA is t� pay th° gzep^-r�Y: `�'�,�"�- t]� resi�� � ar has a bP�eficial interest in ti� ta�m3yer. . N1kR 2�� 1968 — F� QssESSQR`S USE ONLY - �; �u J`�.0. � AUDITOR Ian3 not �:�9 1 (�° z� ��at�]'y . stsro�riing r=sidentiat inaravg�en�s Ot'r�r Land ��� � ��.��� }-s D� �1.�4 P�J�.1Z� YIl/1`-i���l 9 GaSaae Zbtal �� Valn_ (1) (2) `� (3) (4) _ (5) (6) --- - (7) C`�h�r Ni*rcrrvan��ts .� ' ,I�ts - Line (6) plus (7) _eQ�ls (6) (8) ____ 1�h�YPjJ�1 C�l. .. j Ll1P pyl�iy= i5 LL.-.1 C.Q F�1��1 ��i�1A�• S\� Lur�- �i' P�zov�: Pssssor - AcTInPa BY AlID3T�R ' Assessa3 Flarestea�c Valuation Valuatio� � 90 �// /�//,/i ��//// /%//� 1���(�� // /L�L��Jl:u `7� k �. �, �/ ��//% � �������i �� ate: 3' � -��