HomeMy WebLinkAboutHomestead_Sloan (6)WRM HC 10 1979
PresuiOM By State Bwm ol iax Commissioners
CLAIM FOR HOMESTEAU PROPERTY TAX CREDIT FOR YEAR 19�
io Be FileO in Duplicate
�
SEE BACK FOR FILING INSTRUCTIONS 0(C�� 03`7���OD
�(We)�4�-�/ �� �-�-a- %» �-a� certify that on the 1st day of
�sarch, 19�f_,�(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) C�owned
❑ are buying under contract
❑ have a beneficial inte,r./est �in the taxpayer
Property Description in .U�-.�c1--cv�> County �a--�a� Township
Taxing District (City, Town, Township): _ `"�fL�x�.tw Qnvn.�.�G S
Parcel Number or legal description shown Q� �x statement:
n \ l /�i / �
If buying Ofl contract: Owners name ��� simDle owne�l
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 oi the property utilized to produce income
Any other counties in which individual owns.or is buying real property:
�hereby certify the above statement is true, correct and complete.
SIrCQ� P��r¢55
County
Township
G�Y. sia�eMw�
' 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 ihe taxpayer.
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 1(one) acre immediately
surrounding residential improv�ent� �
Other Land � �
Total Land
Residential Improvements IUN 13 1919.
Dwelling
�Garage
� Total
Other Improvements � �����R
T�'-' Improvements - Line (6) plus (7) equals (8)
I�oy certify the above is true. correct. and compiete.
Signa:ure(�1 Assessor
■
True Cash
Value
(1) .2.�z�
�—
(2) �
'"� ,.
(4) /S33 0 �
�5� � :
(6) /s 33o p`6°
� �
(7) � �
(8) /� _
- ACTION BY AUDITOR -
Assessed
Valuation
�t,�o
_ �?o
3 =3�-� 5
oa:�
Homestead
Valuation
Gb0
�iiofl
Date: _�'�L�J�LL�