Homestead_HynemanVJ1il'I I UI( 11U•C6IL)tD 1 1NI'JU I uv U\.u1 1 I vn Ivni 1J-9L
SEE BArV
r -OR r:ll It r' i(•ISTRUCT'OIdS 9�
I
f �Qt�, cI Q crtQry
(we) ccc'u'D1e.1' as our princ1Dd1 r)lhceoDf res
pro- �v for tahi]ch a lloiir?stA._ad Property Tax Credit is hereby
a e'.buyinct t xler contract
have a beneficial interes Iuii ,the taxpayer
Procerty Descriation in �( /C�o ulty``
Ta-:ing District (City, Tcxm,. Townslup).: (�� {%k
certify that on tire 1st day c I
dence the .following described real ;
being clablicri
1
Q �.0
0,
j
TCf, ;l I - I i i�
I
Parcel rlultcr or legal description slrn•ni/on tax statamst:
p� N r= s e fk- -2 -� s i QW
Tf buvinu on contract: C<wners rood✓ (fee s role c mar)
Contract record—e-1 in Recorder Is Office - P--cord 1b, Page
1 anv portion of the residential structure or the land, not e:zexling one (1) acre that
rciiately surrol-ris that structure is used to produce incase, descri}p the use ait3 portion of
tiie or'ocerty utll' -Zed to produce aiLOITe
other cminties in wiu-- c_h ira 3J --dual owns or is buying real pro perty
above statarnnt is true, correct and =-plete-
(bunty `1�7.'.775IllD
r, 5 ai
*individual either ca.rns or is buying uner a contract that provides he is to pal the
b}Ie residence, or has a ieneficial interest in the tv:FaYer.
FOR ASSESSOR S USE ONLY -
NOV 2? 1989
L' 1 not e-weedl lnarlediately
SlirrOL''di rovuents
Other 'Lynn -
.0; a- Lard
?�side_ntia1 ii, oro:elrz ^.ts Duelling
Garage
Total
True Cash
Value
(1) "
(2)
(3)
(4)
(5)
(6)
other I:•rprovcmen s (7) —
1'ic In�roti�1Lnts - Line (6) plus (7) .equals (E3) (B)
1 - y.ceyiiy the abc�^e is true, correct, arrl czxlmlete.
lusess -1
3Lnvsteic.:
Valuation
Valuatic:
/V �! •'4
cCG�
W to
,r nature of - ssesscr
- ACT1011 BY 5UDiT()R -
t vVln�2
JD 9 l"" "" Date: _ (t I_a�