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HomeMy WebLinkAboutHomestead_Wrightwenrxc ro is�s- - - -- - - '. RescriOeE By State BoaN of Ta to mi<_s;u;-�—. "'�. To & Filed in Du0lrcate CLAIM FOR HOMESTEAD PHOPERTY TAX CAEDIT FOR YEAH 19 �9 ✓ � SEE BACK FORFILING INSTRUCTIONS QrC�- O33YQ'OO ��We) �IOf3E,eT /' ��/'7�-�0�9 -� GlJie�CNT certify that on the 1st day of March, 197�.-, 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) B'owned ❑ are buying under contract ❑ have a beneficial intere t in the taxpayer Property Description in � aSo.✓ Taxing District (City, Town, Township): � Parcel Number If buying on contract: Owners name ��� sim0�e o.�e�� / f! TO,C.9 � Township or legal description shown on tax statement: H/cC s E 1�'9z es �o r.y� � i�:C iF 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 produc�,jncqme, describe the use and portion of the property utilized to produce income Any other counties in which individual owns or is buying real property: ��tiereby certify the above statement is true, correct and complete. 0 County Township � 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 ,�(on� acre immediately surrounding residenti�"Lim ove�nts � � Other Land � + Total Land -��'r�' c �sis Residential Improvements Dwelling �I , � Other Improvements �/���t� Garage Total - AUDITOR T�Improvements - Line (6) plus (7) equals (8) I nereby certiiy the a�ve is true. correct. and complete. OI ASSessar True Cash Value (�) 3Soo (2) .2 0 (3> 3s� o (a) ��570 (s) � �6� z�s�o n� ��� a 90 / (g� �� 8 G o - ACTION BY AUDITOR - Assessed Valuation // � //�o Homestead Valuation . ., . ' ' � �,� . � . i�j/�j�jj/� , ,//j�/�/�/�jjj . . Approved: f1� ��, ) ,C� -2�-C!-> Date: � ^ �i - � 9