HomeMy WebLinkAboutHomestead_ThompsonFORM K 1D 1979
Prmritted By State Board at Tax Commissioners
To Be Filed in Duplicate
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 1912
SEE BACK FOR FILING INSTRUCTIONS bQp 60_ pp
k (We) '"1- a"'�^� -e-a"� certify that on the 1st day of
arch, 19— I, (We) occupied as o6' principal place of resid ce the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I. (We) ❑ owned 'e ���� 1Qe &Ve. 9Ca -&'06
❑ are buying under contract
❑ have a beneficial in rest in the taxpayer
Property Description in n County Township
Taxing District (City, Town, Township): t
Parcel Number
If buying on contract: Owners name (tee simple owner)
or leegg%al dessccrription shown on tax statement:
Contract recorded in Recorders Office - Record No. Page 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 Township
hereby certify the above statement is true, correct and complete.
in
6-7-79
Street
State and Zip Cone
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 -
Approved
y766o
Assessed Homestead
Valuation Valuation
7D /�,
,5-- /f- 79
Date
i
Date: 6. A
True Cash
Value
Land not exceedin )� re e
surrounding residenplrtieme�
(1) .�
Other Land 111111 JL�
(2)
Total Land JUN 81979
(3) 7s-0
Residential Impro is
Dwelling
(4) 6 F90
X//�
(5) 123 d
Garage
AUDITOR
(6) 2 0
Total
Other Improvements
(7) 0—
Tor I Improvements - Line (6) plus (7) equals
(8)
�i—
(8)
I'by certify the ove is true. co ect. and complete.
16_1r L
Signature of Assessor
ACTION
BY AUDITOR -
Approved
y766o
Assessed Homestead
Valuation Valuation
7D /�,
,5-- /f- 79
Date
i
Date: 6. A