HomeMy WebLinkAboutHomestead_McDaniel (6)F9flAI HC 10 1979 To & FiIM in Wplicate �
RescriUeE By Stale Bwrtl a� Taz Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19,�9 �� �
SEE BACK FOR FILING INSTRUCTIONS o�9- o1q a q� AD
,jW�n� ���� �e-'B`-+�� � "��� � certify that on the 1st day of
N�arch, 19�L, I, (We) occupied as our princi al place of resi 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 injerest in the taxpayer
Property Description
Taxing District (City, Towrr,-�vwnstrip): � �'' —
Parcel Number
If buying on contract: Owners name u� simo�e o.�e,�
v �y� Township
or legal description shown on tax statement:
.
i/ , . . .
Contract recorded in Recorders Office - Record No. Page
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
hereby certif the above statement is t ue, correct and complete.
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�ilc�iue Yri %i/1,� ���-�.�—C�.� ��`�P �, �✓ti�� ��� � �� 70
'Sign ur Sveet AOGress Ciry. Stare an0 Zip CoOe
' 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 Dwelling
.1�L � 5979 Garage
//L,��u —{� Total
Other Improvements � ^� �
� AUDITOR
T Improvements - Line (6) plus (7) equals (8)
I;,�by certify.the,�byve is true. correct. and complete.
Ap
oi
True Cash
Value
(�) �?,300
(2)
(3) o
(4) � o
(s)
(6) � (o
��� � �
\
(8) � 7
Assessed
Valuation
7�0
Homestead
Valuation
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Oate
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Date: �