HomeMy WebLinkAboutHomestead_Jones (2)FORM HC 10 1979 To Be Filed in Duplicate
Prescribed By State Board of Taa Commissioners -
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19
/SE�E/JBACK FOR FILING INSTRUCTIONS Of �0OS4a_ pD
110�(We) o-�la zW'���+�- �' ¢ certify that on the 1st day of
1a-rch, 19 -M I, (We) occiLlpied as our principal place of res ence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned
❑ are buying under contract
❑ have a beneficial int t i %payer _
Property Description in �ounty Township
Taxing District (City, Town, Township): (�
Parcel Number or legal description show on tax statement:
If buying on contract: Owners name (lee ainnW o..ne"
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
statement is true; correct and complete.
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 -
True Cash Assessed Homestead
Value Valuation Valuation