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HomeMy WebLinkAboutHomestead_WalkerFORM HC 10 1979 To Be Filed in Duplicate Prescribed By State Board of Tax Commissioners - �CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19—'17q SEE BACK FOR FILING INSTRUCTIONS © /6- (a (We) acam- r\ r ?�- e- certify that on the 1st day of March, 19-Z-9-- I, (We) occupied as our pr cipal 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 intteJJes�t in the taxpayer Property Description in "� -�^ /�o-unty /� � Township Taxing District (City, Town, Township): v Lt -� L P - - Parcel Number If buying on contract: Owners owner) or legal description shown0on tax statement: &Ue 'Ztga'�u R-'Z� C� 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 r• f(t ,AA re (64 hereby certify the above statement is true, correct and complete. — C ♦/ ' Street Address City. State and Zip Cade � v.• ifL(�jy 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 - LED Land not exceedingore acre immediately surrounding residential impr vein n Other Land t!(� 1 ��79 Total Land /� Residential Improvement AUDITOR I/ // Dwelling Garage Total Other Improvements T Improvements - Line (6) plus (7 equals (8) 1`9 reby certify the above is true. c r ect, an/d, c �' Signature of Assessor True Cash Value (1) 6/0 (2) —0— (3) 6/O (4) (5) (6) 3 O (7) - (8) - ACTION BY AUDITOR - Assessed Homestead Valuation Valuation • Date D.