HomeMy WebLinkAboutHomestead_Lankford (6)W8M HC 10 19i9
PiescriGetl By State BoarE o� Ta. Commissioners
7o Be FileO in DuDlicate
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 192� �
SEE BACK FOR FILING INSTRUCTIONS Q�(� ���SS%–OO
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�(We) • � � � • certify that on the tst day of
iarch, 1_��, (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) O owned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in �� �/� County �. Township
Taxing District (City, Teaw—To�: ,l`�LG.�r.PJ�
Parcel Number I I I I � I or legal description shown .on tax statement:
�� ,�� ,,<.��, � a �/0��07
If buying Ofl contract: Owners name ��� s�moie owne.l
Contract recorded in Recorders Office - Record No. Paqe
If any portion of the residential structure or the land, not exceeding one (1) acre that immedia�ely 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
is true, correct and complete
' Individual either owns or is buying under a contract that provides he is to pay the property taxes
on ihe residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE
Land not exceeding 1(one) acre immediately
surrounding residential improvements
Other Land - �` � �
Total Land � �
Residential Improvements Dwelling
JUN i 9 ��79 �-
Garage
*y�7 Total
Other Improvemen{s� • �
T�•'�Improvements - ne (6) plus �r7��s (8)
I�eby certity �bove is true. correct. and complete.
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Signawre of Assessor
True Cash
Value
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(2) -
(3� � _
Assessed
Valuation
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Homestead
Valuation
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- ACTION BY AUDITOR -
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