HomeMy WebLinkAboutHomestead_ToddFORM NC 70 1979 To & FileE in Duplicate
PreuriEed By SWte BoarE of Taa Cammissioners � �
CLAIM fOR HOMESTEAU PROPEATY TAX CREUIT FOR YEAR 19 �y ✓
SEE BACK FOR FILING INSTRUCTIONS O�9' �a 3 q�� ��
—
��We) .J�r/n/ F. � eSN:/1�c y �. /o�� certify that on the 1st 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) owned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer ,�
Property Description in ��/3so"J County �ryTo�'� Township
Taxing District (City, Town, Township): �"`��PT�"J
Parcel Number or legal description shown on tax statement:
S..cT:/SiDE �D,J /do
If buying on contract: Owners name ��� sim0le owneq
Contract recorded in Recorders Office - Record No. Paoe
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
' 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 excee — 1(one�acte e ia ely
surrounding res ti� imp�em�
Other Land
Total Land ��Y �J j979
Residential Improv ments Dwelling
�/I ,/ �, j�!�.�i�� Garage
!� AUDITOR Total
Other Improvements
True Cash
Value
(�) //vv
(2�
�3) %/oo
(4) 2 0
(s)
(g� 3 90 cb0
(�) �
�rovements - Line (6) plus (7) equals (8) (8)
certiTy the a�3e is true. correct. and complete.
of Assessor
- ACTION BY AUDITOR -
Assessed
Valuation
.� 70
�N
��e—
Homestead
Valuation
�90
���7��r�/�. •
I � ► i�//j��
l�:�►Li. � „�,;,; /O/,,.
�!`-! �%�i%iii%