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HomeMy WebLinkAboutHomestead_Williams (36)CLF11f�1 FOR HG��STEAD PfiOPr�TY TFV� Cf�IT FOR 'ftAR 19�� � cFF RG!'K FnR Fti tr•!r, tr•!SlRUCTIOI�S �/l�- �3abs. 00 tor which a I-lotr�tea� � certify that on the lst daf of residen� th° fol]v�ing descriFn_d r�. her�j' b�.ing clai�: t_ ' _ ' I, Q'7e) � a.msl � are bir�in4 urrier contract � have a b=.neficial ' �rest in the tasaxlyer Proe�rty I7�scription_ in �hd ��t7' Ta:inq District (City, Ta:�n, 'Ibwnship) : p�.�;�,..�,...� �.,�� Fzrcel tiu;nc�r or le�al des¢iotion st�.,n on tax staterPnt: (��•,z�,�� 3 � , 3 3 0 I= bu.�ino en �ntract: Cxan�ss n3n'e (fe_ s�le oom:s) - - Cor«ract r�-ord�3 jn P�prder's O°fice - I�-cord tb. Pzge T_' dll'y' DOf'�.10I] Of t}7°_ T°_51d°Sli1d1 SiSllCtlli°_ Or �`�l° IdI13, not a��e-�Ling OP.° (1% 2Cie tR3� irrr.�ciiacely surroinds �hat structun_ is us�i tn prociuce incane, descri� the uss a�r3 oortien c �ne oro�sty utilized to produce irrorre �n:� o�er counties jn o;hich indit�idual a�� or is bu✓ing rA.,al oro�_rty: � � �.,�,o is true� mrrect ani �lliity `Ib::15}�1D - y9G 9� ,��o �e,ti � � :ity, Stat� an3 Zip C• *Individua]. eith°r o.+�ns or is iuying im°-r a mntract t}u�t provids he is to nay th_ �ro�sty tax�s_ on th° residence, or has a��°iicial interest in th° ta:'•nayer. - FOR ASSESS(7R�S USE O�dLY - Lan� not er.��in9 1(one) acre in�c�diately surrourrling residential iir�rov�en�s Othet Land Toal Land P�sidential L-rorov�rx'-ns Trus Cash Valu_ �l� a � � b (2) (3) Dc,elling (�) Garaae (5) Total � (6) _ �oo o'ch:s 71m�ro-�an�nts ( 7 ) — 'Ib ' Irr��vven�its - Lins ( 6 ) plus ( 7 ) ecii�ls ( 8 ) ( 8 ) _ � Z h�seQY c�rtify the a�o�� is true, correct, ancl caTmlete. Sirnatur_ oi Pssssor ;, r_ � ro�� �' c —�=---- / 9��0 3 � 3 0 �.ZS 7 0 P.'j A(1�ITnR - Dat�: �- � ^ O IiSS°SS� Valuati.en �� � /'�%�/% � ��� � � ,o�d 7Sz o La t=_ Ek]I�.'J l�. Valua � �oo �����/,�.', ��'%/�/,/,i% �/ ����% � „ �, (,�'-lr / j i/,///, �// �//�