HomeMy WebLinkAboutHomestead_Waldroup (5)waM xc io �s�s
Presc�ib¢0 By Slaie BW�4 al iae Commi55ioner5
io & FileE in Uuplicate
CLAIM FOR HOMESTEAD P.ROPERTY TAX CREUIT FOR YEAR 192� �
principal place of residence the foltowing described real property for
Tax Credit is hereby being claimed:
I, (We) � owned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Properry Description inT_/—L ��-.: -
Taxing District (City, T.ouu�,�ewrrship):
Parcel Number
If buying on contract: Owners name ��� simpie
O�°�'J--A� Township
or legal description shown on tax statement:
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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.
n /% ., _
Street naaress
County
�
Township
antl Zio Cotle
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 -
True Cash Assessed Homestead
Value Valuation Valuation
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