HomeMy WebLinkAboutHomestead_BensonC =5CC 11:•� -t isl Space bcaro of 'rax ::o ssloners
CLAIM FOR HUIESTEAD PROPERTY TAX CREDIT FOR YEAR 1945" �
SEE BACK FOR FILING-INSTRUCTIONS
0 /b_ 00069- oa
certify that on the 1st day o1
-ch, 19 I, (A1e) occ:rou as our principal place of residence the following described real
,,perty for which a Homestead Property Tax Credit is hereby being claimed:
I , (F7e) ® owned
Flare buying under contract
have a beneficial interest in the taxpayer
Property Description_ in Count 7bmSh11
Taxing District (City Township) : c„( 2
Parcel thnnber or legal description shown on tax statement:
JQQ ,
If buying on contract: owners name He simple owner)
Contract recorded in Recorder's Office - Record No. Page
if any portion of the residential structure or the land, not exceeding one (1) 'acre that
imrediately surrounds that structure is used to produce intone, 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 end conplete.
, State
*Individual either owns or is buying uner 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 -
True Cash
Value
Land not exceeding.1 (one) acre immediately 9 �o
surrounding residential inprovements (1)
•
Total Land
Residential Improvements
other Inprovanents
FILED
Dwelling
MAR &Qa `W5
AUDITOR
(2)
(3)
(4)
(5)
(6) _L39 YO
O
(7)
7 Imrorovements - Line (6) plus (7) equals (8) (8)
I hereby certify the above is true, correct, and ocmplete.
- ACTION BY AUDITOR -
Assessed Hanestead
Valuation Valuation
Date
%reproved: Date: i
�.. a9 98s