HomeMy WebLinkAboutHomestead_Skelton (5)POftM HC 10 1979
Prescri�e0 By�State Baard of 7a. Commissioners -
CLAIM FOR HOMESTEAD PROPERTY TAX CREUIT FOR YEAR 19-2�
SEE BACK FOR FILING INSTRUCTIONS
ia Be Filed in OuD��caie �
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�(We) F�a�C� `X �-�-i��"-e+-� certify that on the tst day of
arch, 19� � I, (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) C3'owned
❑ are buying under contract
O have a beneficial interest in the taxpayer
Property Description in � County �C1 1��-f�+. Township
Taxing District (City, Town, Township): ���.��p��� ���+� r �
Parcel Number or Iegai description shown on tax statement:
`�e J�r�t , _ 1 �.v,..�.. . Jo � %l0 �
,
If buying Ofl contract: Owners name ��ee simpie ownerl
Contract recorded in Recorders Office - Record
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.
�/ . . <!� �-� � ..t- , / 2�„ ,. fl% • . /1 . � y?'�� /l"`'".��� � Q °
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Individual either owns or is buying under a contract that provides he is to pay lhe property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
Land not exceetling 1(one) acre immediately
surrounding residential improvements
Other Land
Total Land B
Residential Improvemen� �j � �
Dwelling
JUL 271979. Garage
Total
Other Improvements �
T� ' 4nprovements - L4rtc+ (6 lu
I�oy certify the above true. corred#U�I�Bomplete.
Signame ol
True Cash
Value
�,� �000
(�)
rs� /�oa
(4)
(5)
�s>
(�)
(8)
Assessed
Valuation
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6jo
Homestead
Valuation
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- ACTION BY AUDITOR -
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