HomeMy WebLinkAboutHomestead_IleFORM MC 10 1979
RescriEeE By Sute BoarE af Tax Commiuioners
To & Filed in Wplicate
CLAIM FOR HOMESTEAU PHOPEHTY TAX CREDIT FOR YEAA 19Z� ' �
SEE BACK FOR FILING INSTRUCTIONS p�q_ ��3a�- oa
�(We��— ���� ��5���- certify that on the 1st day of
arch, 192,�G, 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 ip,terest in the taxpayer
Property Description i
Taxing District (City, Tewa,--�ewnsHip): � 1—��
Parcel Number
If buying on contract: Owners name �`� "'"o�e ow�e�r
�i Township
or legal description shown on tax statement:
�� /du/� �L-f/y,� /�-a-/o . �.�az�
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: County Township
'�hereb� certify the above statement is true, correct and complete.
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Signat Sveet naar� � Gry. State ana Z�o �e
' 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 exceetling 1(one) acre immediately
surrounding residential improvements
Other Land
Total Land
�
Residential Improvemen� � � � �DwQlling
Ga ar ge
JUN 2 � i979 Tota�
Other Improvements
T� Improvements - (�I ) eq
I�aby .ce� ify th �/ove�s-fr e, co omplete.
ri
OI F55l550!
True Cash Assessed Homestead
Value Valuation Valuation
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- ACTION BY AUDITOR -
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Date: �-� 7-7 9