HomeMy WebLinkAboutHomestead_Turner (4)J
FOflM MC 10 1979 '
Pre5cri0e0 By S�ate Board al 7a. Commissfaners
io Be Filetl in Duolitate
CLAIM FOR HOMESTEAO PROPERTY TAX CREDIT FOR YEAR 19 � y �
SEE BACK FOR FILING INSTRUCTIONS Q�L, _ O aC3 (0 Y' � D
[
�(We) d'�'"L'`-« ,.����"->��-¢-- rn- � certify that on the 1st day of
march, 19�,v1, (We) occupied as ou�r� 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 inter� .sJt in the taxpayer %�
Property Description in /�"`��'^'� County v�-'�d','1' Township
Taxing District (City, Town, Township): ��^'`-���
Parcel Number or legal description shown on tax statement:
�3 /�%G � �
If buying on contract: Owners name �'� ��mP1e owner�
Contract recorded in Recorders Oifice - 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.
�
'Signamre Shee� Aadress City. S:ate antl Zio Coae
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 7(one) acre immediately
surrounding residential improvements'
Other Land
Total Land
Residential Impr�����
h1AR 121982
Dwelling
Garage
Total
Other Improveme,nts`
Tn+�� Improvemep�JaQ u ) equals (8)
I�by certify the al���is true. orrect. and complete.
Signa.ure ol Asuswr
True Cash
Value
(�) 700
(2) —
�3� 700
(a) 86 c
(5)
(g) �0 6v
(�)
(8) ��
- ACTION BY AUDITOR -
Assessed
Valuation
� 3 0
Homestead
Valuation
a3o
a3o
�j�.Q,._ . , �-, � S SL
oai
Approved: �' v/ �-«� Date: ���� ��'