HomeMy WebLinkAboutHomestead_Wright Living TrustFOHM HL 10 1979 io Be Filed fn Duplicale
Pr¢uribetl By S1ate BWrd of ia. Cammissfoners .
CLAIM FOR HOMESTEAU PROPERTY TAX CREOIT FOR YEAR 19� �
SEE BACK FOR FILING INSTRUCTIONS Q�(,- 033y1'��
i � '7�
��We) .�oN� Lcl• � MaE 6/Ea�! LC��P•CNr
arch, 19_Z�, I, (We) occupied as our principal place of e tl
which a Homestead Property Tax Credit is hereby being cla�me� �
I, (We) 0 owned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer.
Property Description in ���»�^'
Taxing District (City, Town, Township): ���✓Ce
Parcel Number
If buying Ofl contract: Owners name ��� s�mo�e owne.l
unty � H
�
certify that on the tst day of
ing described real property�
�
� � �� �
��` �
Township
or legal description shown on tax statement:
/✓.e>N.B.Qooc �cu Lor 8
Contract recorded in Recorders Office - Record
If any portion of the residential structure or the land, not exceeding one (7) 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.
' / //
a
County Township
antl Zip
' 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
Total � � T � �
Resid al p+�+�i
MAY 161g7g
Dwelling
Garage
Total
Ot Im ye7f���;��
7 I rovement�� ) plus p) equals (8)
I�eby certify the ab e s true. correct. and complete.
�� ,��,.�
ASSpSSpe
Approved
True Cash
Value
(�) .2300
(2) —
(3) .23op
(a) /���oo
�5� \�
�
(6) /8 900
(�) �
(g) /� �00
- ACTION BY AUDITOR -
Assessed
Valuation
�J7o
m
s-�a-�9
Da:e
Homesiead
Valuation
% io
r�
Date: � l�- � 9�
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