HomeMy WebLinkAboutHomestead_AlstatthLJill'I'(Vi� fIU'i Jlltlll I "1(UI "T
. A ^ `- ., SE ,BACK FOR F I
ltscir, 19 Z,' (41e) o crmid as our princ
I�ro, ty r 4,hich a I otrns�sd Property Tar.
T (]f:nd ..
F] are buying w, -r contract
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NG - INSTRUCTIONS Q /
'certify that on 61e 1st day c,
place of residence tiie.followinq described real
it is hereby being claiursi: / !
X0.1- LIDO �o f
have a heneficial �ntar t .ui the
roc•_rty D_scr iption. in lI
TaI-dng District (City, Town, 7 canslup) : —
I
Parcel rhs>ker
f
I
County 'lb.a1 nhi I
f
or legal description shmai on tax statoo --nt:
Z' bu-.ing on contract: Owners naRle (fee sirmle a•mer)
Contract re✓o*_-dd in P_ecorder's Office - Pecord lb. Pape
1` any cor -Lion of the residsrrtial structure or the land, not azeeling one (1) acre that
i:�r�- �.y'ately sunrourrls that structure is used to produce iricar�e, describe the use arr3 portion of
l e p o t_v utilized to produce income
a�Jcd -boa OcY,
;,n1, other counties in which irdivi.d ;a wns or is buying real pro paarty: County 7YT:.Trsltio
he_reh }',cg tify the alxove staterent is true, correct and cormlete•'
t P ess c:i�y, State
tLroc f�,� r mms or is s bj }'i'•1g uner a contract t-lt provides he is to pay the
n she resid nce, or has a beneficial interest in file taxpayer.
yes
AUDITOR 9
- FOR ASSESSOR'S USE ONLY -
True cash
Value
- Li and not e.' ceec Ln j 1 (ono) acre urrec lately
surroun3ing residential inD_ov-'rnnts
O+',or Land (2)
-�r.�
'Dotal Lend (3)
Residential Inp_vvem nts Dwellinq (4)
Garaae (5)
2btal (6)
Other 1mrovenents (7)
lb Z ; over�-rts - Line (6) plus ,M.eauals (8) (a)
Z 'Jrauy c°r, i y tine above is true, correct, and corm_ lete.
5;= ;,,tore of %ssesscr
= ACTIOI! BY bUDITnR -
Iusessd
IL-J esteF " -.
Valuation
Valuatic:
, ,
//,,. �� /,
FAME f:l
bate
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