HomeMy WebLinkAboutHomestead_Zimmerman� TF07M HL l0 1979 � � � To Be Filed`in-Duplicate
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CLAIM FOR HOMESTEAU PROPERTY TAX CREDIT FOR YEAR 192� _ �
'� SEE BACK FOR FILING INSTRUCTIONS �' �� 37j�20o
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�< <-� • � certify that on the 1st day of
o-ar ,.,�_, I, (We) cupied as rprincipal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed: pp ,,,,
n I, (We)� owned -v ,�`��,��
❑ are buying under contract j ��
❑ have a beneficial inter st in the taxpayer O
Property Description in Ce�nty _ ,;� J Township
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Taxing District (City, Town, Township): �'l h-�
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Parcel Number _ or.leS -.-. �p,'ig„' ,own on tax statement:
C _ .•A �l.iv�� .2/
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If buying on coMract: Owners name ��� zimole ow�e,i _ _
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Contract recorded in Recorder i' .- Re / �o. Paqe
If any portion of the residential structure or the land, n !;ding c / acre that immediately surrounds that
structure is used to produce income, describe the u� �,�ortior a property utilized to produce income
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Any other counties in which individual owns or is real prc ...� County Township
certify the above statement is true, :ct and ,�ete
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Ciry. State ana Zi0 �e
Individual either owns or is buying under a contract that provides he is to pay the property [axes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 1(one) acre immediately
surrounding reside�l i�prov�ent� �
Other Land
Total Land
Residential ImprovementsiU� 5 �3'�
Dwelling
Garage
— � - � > �� , Total
IOther Improvements AUDITOR
J Tr`��-��1mn rovements - Line (6) plus (7) equals (S)
�:t�:erOFy,the above is true, cor e t. and complel
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True Cash
Value
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�a� 33 0
(5) ���
�s��sio_a
(7) r�
($) ���
Assessed
Valuation
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Homestead
Valuationj
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Date
- ACTION BY AUDITOR -
� Date: /