HomeMy WebLinkAboutHomestead_Hull (4)wwM xc io is�v
PreuriEeE By SUte BwrO ol Tax Commissioners
To & FIeO in WD���te
CLAIM FOR HOMESTEAU PHOPERTY TAX CREUIT FOR YEAA 19Z� ,�
SEE BACK FOR FILING INSTRUCTIONS O�9' OraSI''�D
�(We)�I-�-t-��, �'-�-a--�-Y /�*'�✓� `f I„�� � certify that on the 1st day of
���arch, 19Z�, 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 interestAin the taxpayer
Property Description
Taxing District (City, Fe�vR-�ownship): ���
Parcel Number
If buying on contract: Owners name �'� °""o'e
���^Z'r/�� Township
or legal description shown on tax statem
/�O�i�.�; �Fl� /
Contract recorded in Recorders Office - Record
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
' 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
Other Land , � � � � �
Total Land
Residential Improvements i��PJ ; ���c� Dwelling
1 n,
+ ✓ (/ _
Other Improvements
Tr' ' Improvements
y�by certify the
al AssessOr
Garage
� /,�/��`k�otal
v (
AUDITOR
- Line (6) plus (7) equals (8)
above ys true. correct. and complete.
0
■
True Cash
Value
c, � —f 7�
(2) �L�%�
(3) �
(a) ��
(s� ���0
(6) �-�o
��I -- �
(8) `7L-�lr
- ACTION BY AUDITOR -
Assessed
Valuation�
� q �`
r�
�Td>
Homestead
Valuation�
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Date: �12l-'['�7—"—