HomeMy WebLinkAboutHomestead_Woods (8)FOAM HC 10 1979
Preuri0e0 By Siate BwrO al Tax Commissioncrs
CLAIM FOR HOMESTEAD PflOPEATY TAX CREDIT FOR YEAR 19��
To & FiIW in �upliwte
✓
SEE BACK FOR FILING INSTRUCTIONS Q�q_ 0 3330 -p�
�We o��7' T 7+1��.� �_ wo-e-a.�,�
certi y that on the 1st day of
,, arch, 19�t, 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) C}�owned
❑ are buying under contract
❑ have a beneficial in,,t,e/re�st in th�e taxpayer �p
Property Description in �(�-.�d-ey.J _ County Ta.�-�-�A� Township
Taxing District (City, Town, Township): rn-
Parcel Number
If buying. on contract: Owners name
or legal description shown on tax statement:
�� s�...�r !�ti—� ��. .I�
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.
_� `
SVeet AO�ress
County Township
Ci�y, Siaie ana Ziv �e
' 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 1(one) acre immediately
surrounding residential improvements
Other Land (i � � � �
Total Land �
Residential Improvements Dwellin
,; U�' i 1 1979 9
Garage
/���`k —�—Total
Other Improvements� � ���
UDITQR
Tn} ' Improvements - Line (6) plus (7 equa s(8)
I�:iy certify the above is true. correct. and complete.
ot AssPS50r
True Cash Assessed Homestead
Value Valuation Valuation
(1) /870 [000
(2)
(3)
(4)
(5)
(6)
(�)
(8)
- ACTION BY AUDITOR -
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Date: �
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