HomeMy WebLinkAboutHomestead_Loveless (7)1 IL lu 1979 , �Po ix r•iloa ln �upilca��
;cri�d By Stata 8aard of Tax CY�amissionera
� CLA1M FOR FI�ESiFA[l PfmPERTY TAX (�ZED1T FOR YFAR 19�` /
-.� a,��q '� �P S K FOR F1L1NG 1NSTRUCTIONS Q�� . �/ �� O'0
'�.:1 ���',�/�(,�, oartlfy that on the let day of
rcli, 19 , I, �e ed as our pn place of res3danoe the foliawing deacrihett.real
�perty or which a Psoperty Tax f:redit ia hereby being claimeds . �
(1v.�1 �' a+neri . .
❑ are buS'ina ur�r oontract .
� have a benefici�' ;n t in'the ta�ayar •
operty Deecriptioi� L^. ��� , �. Wunty � 21oMmstup
xing District (Cit�, l��su�et►ip): �
rcel tlunher or legal description atna¢� on tax statESUec►ta
� ,44�� aa� - .
buying rn oontcacE: _ Own�ss rtivre �fee si�le oirnes) . .
Contract reoozded iit Reaarder's Offloe - Recard ti�. p�aya
any portion of the reai:�:..i.al atructure or the land, rot exceeding one (1) acre that
mediately surxo�uda that structu=e ia used tn pznduce irnane, deacribe the uae arrl portion of
e ProPer�Y utilized to pmdu�e . irnat�e �
y oUier ao�►ties in �hic3i irdividual owns or is buyinq real propartyi •� ,�
�ahy oertify ai�ove statsaent ia true, aDrrect ard oouplete. �,c� .
,�,f,�,�-a,�+ 9oZ � d. �a.�.e_ izLwcc�e-rL
' iqndWrO ' Street Addr6SS ' . Cltyr Stdte a(Id Z1p ODd6
•Ir�dividual either owna or is buying �u�er a mntract that providea he ia to pay the
propar'ty. tame on the reeidrsoe, or has a belieficial intacest in the ta�qs�Yar•
- FOR ASSESS()R�S USE ONLY -
True C,astt
Value
� rot exceedirg 1(me) acre iimiediately .
.rrourdinq residential inpzovm�ents . (1) / O �o
her Iard ' (2)
�tal iard ' " (3) / OSo .
•eidential Iapzovemente � nw�ellirW (4) S� 3 0
Garage (5)
Toral (6) S'8 3 0
i� ilf�LnV�nrs ���
.'� Lrpmvmier►ts - Li.ne (6) Plus (7) e4uals (8) (81 5 83a
fN:r a.c•�+�I �1B dk70N6 16 t.il]B� OGLLbCt� 8[Y� r+'t'+^'tB• .
�r
��,�r,: o r�aessor
� � - ACTION BY pUDITnR -
Aeeasserl
Valuation
3S�o
.
/��������
���/�������
� r
/ 9 s��
-
. �'(
}1ar�estaad
Valuation
3S�
0
� 6 '�