HomeMy WebLinkAboutHomestead_DentonFORM HC 10 1979
Prewioed By Slate Board of Tax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 _YY_
To Be Filed in Duplicate
SEE BACK FOR FILING INSTRUCTIONS fl /(o - 00a%0-'0,
We) rtify that on the 1st day of
rch, 19-1-9- I, (We) occupied as our principal plad of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
\, I, (We) 'owned
are buying under contract
O have a beneficial interest in the taxpayer n
Property DescriptionQin n Count f% Township
Taxing District (City, Town, Township): �r-�-a-+'�--�
Parcel Number or le al. description _shwn �on-tax - statement: -
t C�a --Ca- .• /
If buying on contract: Owners name
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.
6`0
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 -
Land not exceeding 1 (one) acre immediately
surrounding residential improvement crq
Other Land L
Total Land
Residential Improvemen�sbi
1/
Other Improvements
True Cash
Value
(1) Saa
(2) _(Q_
(3) 6_�A 0
31979 Dwelling (4)
Garage (5)
Total (6)
AUDITOR (7 )
T Improvements - Line (6) plus (7) equals (8)
Aby certify the aboq is true. re,);t. and com
Slgrumre of Assessor
Approve
(8)
Assessed
Valuation
/-/40
- 0-
/10
Homestead
Valuation
P,
Date
r✓
Date: _ —_713 ! L