HomeMy WebLinkAboutHomestead_LindyfOftM HC 10 19i9
PresuiGeO By State Boara ot Ta. Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 � 9
SEE BACK FOR FILING INSTRUCTIONS
� (We) � �,��„_,.a � �
�vlarch, 19� I, (We) occupied as our principal place of esidern
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned
❑ are buying under contract
❑ have a beneficial interest in th_ e taxpayer
Q�/ c
Property Description in ��-�����-����
Taxing District j.GiLy�Fewr�Township):
Parcel Number
io Be FdeO In Dupliwte
certify that on the 1st day of
the following described real property tor
D�� �Q �j a 1
�
Township
or legal description shown on tax statemeni:
�s� 5 � �/�l � Z ' % � 1 � ( . % � a / /4)
If buying on contract: Owners name �`� "`"o1e °`"efr
Contract recorded in Recorders Office - Record
ge
Ii 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 statement is true, correct and complete.
�'O �
County Township
zna
Individual either owns or is buying under a contract that provides he is to pay ihe property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
� � � � � True Cash
Value
Land not exceeding 1(one);gu�e�i r���tely
surrounding residential improvemen�s
Other Land � I //l/i`� -�}--
Total Land � � ���'
Residential Improvements AU�ITOR
Dwelling
Garage
Tolal .
Other Improvements
Tr�-� fmprovements - Line (6) plus (7) equals (8)
I�-by certify the above is true. correct. and complete.
Signamre ot nsseswr
Approved
�,> 370
(2) —
(3) 03 70
(4) 12S3.o
(5)
(6) /aS 3 0
��) 7 ��o
(8) / `f � '3'°
- ACTION BY AUDITOR -
Assessed
Valuation
�--o � � °
7P
Homestead
Valuation
�6.
G - �- �9
oa:e _ _ .
Date: — "� - �