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HomeMy WebLinkAboutHomestead_McIntosh (2)FORM HC 10 19i9 Prescribed By State Board of Tax Commissioners To Be Filed in Duplicate CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19— SEE BACK FOR FILING INSTRUCTIONS o�6 _ 0o %S /.Q n I �j�� -�Q $ certify the above .a'4-i� true, correct and complete. l(We) /��0.��c certify that on the 1st day of vlarch, 19 —�', I, (We) occVpied as our princi I place 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 ❑ have a beneficial inter st in the taxpayer Property Description in County Township Taxing District (City, Town, Township): Parcel Number or at dnescription shown on tax statement: /I If buying on contract: Owners name (1ee simole Contract recorded in Recorders Office - Record No 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: :hereby certify the above true, correct and complete. ostatement Gis �© a County Township City. Sta Zip Cope 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 tnl Value Land not exceeding 1 Ere) Icre LedEly surrounding residential Improvements _ (1) 6.6-0 Other Land jUN 1 I It (2) 10— .a Assessed Valuation aa0 _o- Z--a9 -79 Daze Homestead Valuation Date: nw