HomeMy WebLinkAboutHomestead_WirthCLAIM FOR WSrW PROPERTY TAX MIT FOR YEAR 19—!L0
/ S-E BACK FOR FILING INSMcrlONS bA *. 0a'd - dO
certify that on the st day c
a t followic? dscr =bed real
ruLlce of res=ence jplr^h, 2.9 I, 47e} oc- : -1eml
Prvte�Y for which a ta�a_�• -tead ?moeztY Tax credit is hereby t,a;.g � =
are buyin.? :naer contract
M have a benefice al int_r"t i rt t1-- tax�Daya. r .
G , boo nJ County Towrstti
ring n: c=ict (City, To,. Township):
P� ^°1 21tsb°S _ or legal ds`ig` -ion srxy,-: on tax sat�--zt:
,Cots
T, ,y on cmmt:ra_• Ooze's rate (fee
Page
C=rraC v recorded in R_OS"Qar's Q=S1ce - Pad No.
-
a n e or the land, P� =`-" -e or- (1) a.Sa- that
L arty rcrr; ter+ of the residential structure i�m, ds�be t1= use and port of
ately stnsptads tttat stn --ture is used to nroact�
the Drury Ur- lazed to -%)Cn ce iarnme
pny o='r_r toughies in which individual va>_s or is buying real property:
�I hereby certify the above statma't is true, correct and cozr�tlete.
County - 1174.'^S11p
Jy \�
navare Provides he is to pay the
*Individual either tams es de ce, or razes a contract that
prvices ty taxes on tip
- a =;,;anc�, or has a beneficial inters -s't itt.the gayer.
- FOR ASSESSOR'S USE OPLY -
Tama not aa;;ng 1 (on-) a—•-re :.._,°a;ate Y ..
sLlZtttd=9 Zoci pan ial ]S.JrOV�t
Qtl °_r Land
Total Land
P_sidanti --' Im=oVeents Dca'lirt4
Garage
Total
True Cash -
Valza
(1) O O
(2)
(3)
(4)
(5)
(6) 00 O
(7)
To ^ mveinetzts -Line (6) plums (7) em-- Llsa}(8) (a))
I c=-tr.ry .
Assessed
Valn3 icn
3oa
(p d U
y';77 a�
DdL°
- ACTION BY .a.UDITnR ,
Date:
Fmesteaz
Valuatiot
3