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HomeMy WebLinkAboutHomestead_McDaniel (8)��resc�ibeci By State Board of Tax Camussioners .. - CLAIM FOR H(�'ESTFAD PROPERTY TAX CRmIT.FOR,YEAR 19�� .{:= -,. z: � , -= . SEE BACK FOR FILING INSTRIICTIONS � :�_, ��-✓= � /�\ ` ` �'l\��`� 'a Z,�e) f �� �(/O�R�. N�-�u�-A-���- D�'- �if1' that on the lst day of- h, 19 , I, ([^1e) occupi o p' D ace of residence' the follaaing ciescribed real �.erty for which a H�stead.?mperty Tax Credit is hereby being claured:'� I, �> � �� � - � � :,, � a -019 ==o�R 3i � - � are buyinq under contract . ` � have a.beneficial interest.in.the taxpayer:�'`.,' n:' �,�� ��.��,`��,��� .: Property Description in 7%/J'i��,��26*�� ���Q .J�(D Cowity -' `, - "'�i�cyGv�cJ :,�wnsl�iP . /�. :;:. r.•: _. �. _. . . . _. .. Taxing District (City, Twm, 'Ibwnship) : Parcel ti�m�bes or legal description s}nwn on tax staterent: • . -• = . :_..::.: _ _ ' , __ ...:: ;�::, .>.. :. :,. � _ . •.4 ` „ � 6•. - . .. - _.� , , If buyina on �ntract: Owners �n�e' (fee simple cwmer) � ,. , Contract recorded in Feo�xder's Offioe -..Recnrd No.''' ''' -' - Page If any portion of the residenti.al structure or the land,.not e�eeding one (1) acre that imnediately surroimds that structure is used to produce'incane, describe the use and portion of the pivperty utilized to produce iricome � . ` <: ,- .� : ` � . " -: ` : • � _ � - - , - - .:.:-:.-. Piry other �imties in which i.rYiividual aarvs or is buying�: . ,� _ ; Y , :�� .,i � . • . , .�; �herel�y.certify the above state[�it is true, oorrect a� �, - �? '� �...rv� _' ,' (1 . _ _ • . - ' .�;;'t: ��p . ''�. , ,... _ - ., ._ 4 �;-;r���.` / •- Ci State d 7/ ^-. *Signature c: • ._•. � :_ . :: � :. ';:: ��eec rmrPSS _ c: _ . s ., . :_> _ t]'. _ �... /r6 2 U *Indivadual either owns or is buying imer a oontract t1�at provides he is to pay �e property. taxes.on the.residence, or has a i�eneficial interest in..,the,taxpayer. _. - � - . ' - F(1R ASSESSOR�S USE ONLY.- j - ., , � . . . ». - ...,_, . ,.:= . ,:-: :--:.. ' True Cash;�'' �: Assessed . Hrniestead _ ,. ,�,, ... � Value Valuation Valuation Larrl not exceeding 1 (one) acre inmediately . . _ _ . . _ ,: :- ; surzoturlin residential i�rovarents . ' (1) -ato•Q:o:.:. , :_�i;.h�.� ':; / 4 ._, -.:. ..;_= . ,, . ".,:;, ..,_. - _ ... — "(2)>_ . : :: . Othes I.arrl :.. � � - . . Total Land (3) �� �o 0 0.. � �t� % O Residential: I�n�varents : . " � -': � Ixaellinq (4) � 3a � 9� other I�iovenents - _ .'' Garage Total A To=' ') I�mvarents - Line (6) Plus (7) equal I he eby certify the ai�ove is true, oorrect. ,. �._. : > r- (5) :. � c6) � 3a 7 9 a..,_,`_ . ..o - �o _: (7) — . .. _ _�.�_:.= . . S ca� �cs)�.:�'a7,9o�"";�c�•i`3o � .... ... . arri orniplete. . ,,; _:r:: : � : :� :_ � �. :. ; . "_ ......_ ... . - - ... ... _ DatP � /'� - ACTION BY P.UDITnR - . Approved: ��' l ��l-u.�-,✓'7"`"�-c� - -: Date: . T � � � /i �. •