HomeMy WebLinkAboutHomestead_McGarrah (3)FOflM HC 10 1979
ReuribeE By Sute BoarE af Taz Commiuioners
To & FiIM in Dupliw�e
CLAIM FOR_HOMESTEAD PROPERTY TAX CNEDIT FOR YEAR 192�L �
_ SEE BACK FOR FILING INSTRUCTIONS Q�Cl'- O� 7.�%' d O
,We)— � � -<-�,� • � certify that on the 1st day of
,.,arch, 19 I, (We) occupied as our principal plac of residence t e following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) C�, owned
❑ are buying under contraci
❑ have a beneficial terest in the taxpayer ,/
Property Description in ,,��� County ����"--�� Township
Taxing District (City, �own-'fioovrrship): ��� ' �-
Parcel Number
If buying on contract: .Owners name �`� 9nip1e Oxne`�
or legal description shown on tax statement:
�itt� � � �,
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 certify the above statement is true, correct and complete.
/�/i6 G [1 (�/�� �I�� 1J �� JZ�,�J �niO. �/�i ��
Signamre � �//�. Sueet Aaaress Ciry. State ana Zi0 �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 -
True Cash Assessed
Value Valuation
Land not exceeding 1(one) acre immediately
surrounding residential improvements (�) � %-�,o
Other Land �° � � �j � (2) —
Total Land �8 (3) / % �
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�-�°'�'�
Da:e
Homestead
Valuation
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