HomeMy WebLinkAboutHomestead_SeramurPieuntied by Slate Boald of la, Connmssionels
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR
- j, SEE BACK FOR FILING INSTRUCTIONS
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I, L _ —__ certify Thal on the 1st day of
Nl 19_S�_ I, (We) occupied A our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We owned QrGf�a
❑ are buyin under contkdct
❑ have a beneficial interest ink J(he. taxpayer �_p
Property Description in T� k x County T Township
Taxing District (City, Town, Township):
Parcel Number'
If buying on contract: Owners name uee Simple
or legal description shown on tax statement: (�
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: County
certify the above statement is true, correct and complete.
Sueel Address
1 ownship
cit, slm,�idvr zm code
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Individual either owns or is buying under a contract that provides he is to pay m
on the residence, or has a beneficial interest in the taxpaye f
FOR ASSESSOR'S USE ONLY - JUN 11989
-and not exceeding 1 (one) acre immediately
surrounding residential improvements
Dther Land
Total Land
Residential Improvements
True Cash Atead
Value VaIr �6161TOR `(raluation
Other rovemenls (r) - - --
Totalsrovements - Line (6) plus (7) equals (8) (8)
I hereby certify the above is true, correct, and complete.
Signature of Assessor
ACTION BY AUDITOR
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(3)
_
,
Dwelling (4)
V" //-
Garage (s)
Total (6)
—
Other rovemenls (r) - - --
Totalsrovements - Line (6) plus (7) equals (8) (8)
I hereby certify the above is true, correct, and complete.
Signature of Assessor
ACTION BY AUDITOR
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