HomeMy WebLinkAboutHomestead_Barrett (2)UTA111 FUR:HU'LJILILU II\UFUNI I uv, L!\:-: /rI ivi, ivu\ -L-,
SF:(TBACK FOR FILING INSTRUCTIONS
1 ) •� off' . L-/- certify that on the 1st day c
hrirch,
19 1, ('rle) occupi as our principal olace of residence the .folkwing described real
prorerty for: -hich a lburastA11 Propa ty Tax Credit is hereby being clab6od: Ii
°O�5 f I
Ej are buyinq urrlerr contract '
have a beneficial interest�i�n the taxpayer
p o rty LL>scrip ioi:, in i.1.X1�� unty
Taxi' ng District (City, Town, 7tgrship) :
parcel or legal description slryom on tax statomst:
4- 3 f
1= buying on contract: O.-ners nacre (fee sinuDle awner) I
Contract recorded in Recorder's Offiro - P-ecord tb. Page i
Tc any mrtion of the residential structure or the land, not aze--ling one (1) acre that
jum-.- ^diately stu-rourds that structure is used to produce incorw, describ° the use atrl portian o:
the oro:ert, utilized to prcdu,ce irro Te
pn.l, other counties in which individ ;a chys or is buying real aropa arty: County Ta.- :11shio
hereby
c ti fy ��o aIp .-
Stat�i t is true, corre✓t and conplete.
-
Street
Pdress Citl, State ald Zip Ccu.
*Si
'Sndividial
tore
either
v.zzs or is guying
caner a contract that prov i. the
prope,-ty taxes on
the residence, or
has a beneficial interest s 'Wr
- FOR
ASSESSORS USE ONLY - DEC 01 1989 E
j
True Cash Assessed I0restet::.1
Value .2��t .CValuaticd
i,and not exceer_ing 1 (one) acre inarediately
surrounding residential iI T-0 nts
Otlter L_nd
Total Land
peSl ential InOTOVEIrIents Dwelling
Garaae
Total
(1)
(2)
(3)
(4)
(5)
(6)
Other- IimprCrJGMents (7) —
'lb TJ:rorove:.-,unts - Line (6) plus (7) equa ls (8)
1ey certify the above is true, correct, and oc"plete.
,
nature or PSsesscr
- ACTION BY AUDITM -
Date
. ,
ft"11111
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