HomeMy WebLinkAboutHomestead_White (19)FORM NC 70 1979
Presai0e0 By Siate BOara a� iaR Commissione4 .
ia Be FileA in DuO�icate ,
CLAIM FOR HOMESTEAD PROPERTY TAX CREOIT FOR YEAR 19 ?� �
SEE BACK FOR FILING INSTRUCTIONS o�'1_ o3l�a�0O
�We) certify that on the tst day of
���arch, 19��, ,(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) B�owned
❑ are buying under contract '
❑ have a beneficial int,e,/res�t in the taxpayer
Property Descrip[ion in e'/,�-�C.,a-.n,1, County �Q-�-�- Township
Taxing District (City, Town, Township): �/t-+-is��ti-�E1ti� Q.xn.l-;L �
Parcel Number � or legal description shown on tax statement:
PE, sw��� ��'-a�A , �N3 �1
If buying on contract: Owners name �`� �""p1e
Contract recorded in Recorders Office - Record
If any portion of the residential structure or the land, not exceeding one (1) acre thai 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.
' � .
ignaw Sveet Aearess Gty. Sta:e ana Zip Gooe
' 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
Value
Land not exceeding 1(one) acre immediately
surrounding residential improvements ` (� ) � S�
Other Land � � �� (2) —
Total Land � � (3) � 5 So
Residential Improvements ��� 171919 Dwelling �4�� �b
Ga 9e (5) � L!
�� ! %/�;,�A/�Ji�i�� _ l� (6� � / \' � �
Other Improvements �� �`i9�o (�)
Tr•-� Improvements - Line (6) us (7) equals (8) (8) 30
I��y certify ihe above is true. correct. and complete.
�. :
Slgna:ure �' Assessor
- ACTION BY AUDITOR -
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Homestead
Valuation
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Date: �—/ '7—��