Homestead_Bise1�J111'I rM 1I1-'L.3ICN!1 muruC it ir-v� Ue-ULI IU1% i.JV .LJ,�
SEE BACK FOR FILING INSTRUCTIONS . D. 9/
I, '•. ._) �. certify that on _ 1st day c
t',arci}, 19 I, (we) occLmied as principal place of residence the .following described real
_i)ro - °rty for which a 11anstP o y Tax aec it .is. hereby being claimd: /
T, U-17-- erl
are buyinq under contract OI I
have a beneficial interest in the taxpayer
prop. °rty Descria iorz. in L)z� County
Ta>ing. Distri ct (City, Tam, `I)7anslup)
?excel unbar. or legal description shown on tax statainst: I
I f buv ng on contract: Crane -rs na"le ( fee si=le comer)
Contract recorded in Recorder's Office - Record Ib. Page
I'= ,,,}y mrYion of the residential structure or the land, not em- eeding one (1) acre that
imr- ,iiately surrounds that structure is used to produce incane, describe the use and portion of
file propasty utilized to p. -oduce inzo'Te
P.r} other counties in which individual ones or is buying real property:
Cnr +iffy the ahov'e staterent 1s true, corre and COliPle te.
County Itr:ms)tio
cif state alrl Zip C.C.0 -:
.,n:� Street Pc'aress city, p
*Individual either a.,ns or is buying uner a contract that provides he is to pay the
prop- --ty tax ° e, or has a beneficial interest in the taxpayer.
- - FOR ASSESSOR S USE ONLY
•1� ;pro .its -Line (6) plus (7) equals (II) (II)
�r°Oy ce_rt'ry the aLY.i'v"e 15 truer correct, a7'3 CUiinlet °_.
D
Date
- ACTION BY AUDITOR -
Date:
OCT 161989
True Cash
Assessed
ltmaste.::-
Value
Valuation
yaluatic:t
La} d not e:ceesng
q1y
at_
1 ,(pn°�„
surrounding
i
�`.`
reside- is L
�1)
��� •:
(3)
Total Land
s
/- 1�
pesidential
Inp overen Dwelling
(4)
_..
Garage
(5)
i
Total
(6)
)
.
•1� ;pro .its -Line (6) plus (7) equals (II) (II)
�r°Oy ce_rt'ry the aLY.i'v"e 15 truer correct, a7'3 CUiinlet °_.
D
Date
- ACTION BY AUDITOR -
Date: