HomeMy WebLinkAboutHomestead_HopkinsCLAIM FOR HOMESTEAU PROPERTY TAX CIIEUIr FOR YEAR 19 29
SEE BACK FOR FILING INSIRUCIIONS /009 -•Oo 3?1 -0 0✓
1, (We) f cot crilily that of) tho tsl clay of
i March, 19e�, I, e) occupied as our principal place of residence the following described real property for
®hich a Homestead Properly Tax- Credit is hereby being claimed:
I, (We) 08 owned
❑ are buying under contract
❑ have a beneficial interest ip the taxpayer
Properly Description in , County N n ^ Township
Taxing District (City, Town, Township): lu*�
Parcel Number or legal description shown on tax statement:
P . sW Nw a7 a : g 16 tic-
If buying on contract: Owners name Ilee S-Tple ownetr
Contract recorded in Recorders Office - Record No. _Pa
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 properly: County Township
I hereby certify the above statement is true, correct and complete.
Steel AOdtess
Individual either owns or is buying under a contract that provides fie is to pay th pro ty taxes
on the residence, or has a beneficial interest in the taxpjdAj .,.� r -M
FOR ASSESSOR'S USE ONLY -
True Cash
Value
Land not exceeding 1 (one) acre immediately
surrounding residential improvements (t)
Other Land (2)
Total Land (3)
Residential Improvements Dwelling
(4) —
Garage (5)
Total
Other Improvements
T lmprovemenls - Line (6) plus (7) equals (8)
I't,.idby certify the above is true, correct. and complete.
(6)
(7) - - --
I1
S,gnalese OI Assesso.'
ACTION BY AUDITOR -
Applovcd:- --_l*� .— - -- --
S
AUDITOFZ
Assessed Homestead
Valuation Valuation