HomeMy WebLinkAboutHomestead_Snyder (6)ww.� Hc io �s�s
NescriDeE By State BaarE ol Ta. Cammissioners
7a & FileE in Duplicate
CLAIM FOR HOMESTEAU PROPERTY TAX CHEDIT FOR YEAR 19 �9 �
, �� E BACK F ING INSTRUCTIONS Q�(�'� Q��C�'�/,(�
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�(We) - O � �''�° "'-�`'`"'�certify that on the 1st day of
arch, 19 e) o upied as our principal ce o residence the following described real property for
which a Homestead Pro r-@red' ereby being claimed: ,
��/ (� C
I, (We) �owned �C �
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in ,��- -!� _
Taxing District (City, ow ownship):
Parcel Number
If buying Ofl contract: Owners name ��re simo�e owneq
� /aZ�� Township
or legal description shown on tax statement:
� tL �C, �/yo 7- L—/o C'��A�
Contract recorded in Recorders Office - Record No. Page
If any portion of the�f€sidential 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:
hereby certify the above statement is true, correct and complete.
AOOreu
County Township
Ciry. 5tate ana [ip,COOe ����D
Individual either ownshr 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
T�otal Land �tl d!, � � �.6'
Residential Improvements Dwelling
.)Uiv 2 i9/9
� �/ �/�J2� Garage
Total
Other Improvements � AUDITOR
T- mprovements - Line (6) plus (7) equals (8)
I�by certify the above is true. correct. and complete.
, r� < � '
Siqnamre oi nssesmr �
True Cash Assessed
Value Valuation
( i ) /i s�
(2)
(3)
(41
(s)
(6)
(�)
(8)
Homestead
Valuation
SSa SS�
- ACTION BY AUDITOR -
� —iZ--�R
Date
Approved: ..i��� �L�� Date: (� ` �7` �S