HomeMy WebLinkAboutHomestead_Spurgeon(-0flM HC 10 7979
PrescriDea By S�a�e Boaro al ia. Commissioners . .
To Be filen in DuO�icate
CLAIM FOR HOMESTEAU PROPERTY TAX CREDIT FOR YEAR 19 79 �
I,�' � �.I„��0� SEE BACK FOR FILING INSTRUCTIONS o�q- oa�2�-�O
� � �iL/�.�. � �sP�
� (We) ,
arch, 19J�, I, (We) occupied as our principal place of re en�
which a Homesteaii'Property Tax'Credit is hereby being claimed:
I, (We)-0�owned
❑ are buying under contract
❑ have a beneficial in�rest in the taxpayer
Property Description in /�-�-�/
Taxing District (City, Town, Township): �
Parcel Number
If buying on contract: Owners name �'� "'"°1e °""e"
=o-�certify that on the 1st day of
following described real property for
nty ��� Township
or leg I description shown on tax statement:
,��0 �d� a.3o
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:
�hereby certify the above statement is true, correct and complete.
County Township
�, �- — . A
Sveet nearess ' V Giy. Scate ano rp Cme
`.."�' '� .,�,�''� 6 - i - � 9
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
T�otal Land � � h� � �
Residential Improvements - D II
Other Improvements
T� Improvements
Approved
,)UN u � 1979_ We ing
Garage
���r���' �-rotal
, r diil�/r�
Line 6) plus (7) equ��s (�
bo�is lrue. correct. and complete.
True Cash
Value
(i) /000
(2) —
(3� j000
- ACTION BY AUDITOR -
Assessed
Valuation
330
330
Homestead
Valuation
33 0