HomeMy WebLinkAboutHomestead_BarrettFORM HC 1D 1979 To Be Filed in Duplicate
Prescribed By State Board of Tan Commissioners q
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 192-�—'
SEE�BACK FOR FILING INSTRUCTIONS O(�� �0M59
-Awe) M� � �� "e-�- Lj• -E- ��l, certify that on the 1st day of
March, 19 -,Zr�, I, (We) occupied as our principal 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 interest in the taxpayer
Property Description in,��+�s���
Taxing District (G+ty, Te", Township):
Parcel Number
If buying on contract: Owners name
Township
v
or legal description shown on tax statement:
<2�, .3 y- jZ 3 6- ?- - ia y'7��z14
Contract recorded in Recorders Office - Record
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
Coco- /r/ %- oW /uci -uCK-� -1 i-
Any other counties in which individual owns or is buying real property:
certify the above statement is true, correct and complete.
3
County Township
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 -
True Cash
Value
Land not exceeding 1 (one) acre immediately
surrounding residential rimprovements (1) 0-0 L 6E Other
otal Land ��+ (3) / S 9 0
Residential Improvements 978 (a) 2367
Q
,uN `j,`•v' � 1 Dwelling
(� Garage (5)
/ l��otal (6) 3
AUDITOR _, a
Other Improvements 0 � (y)
;ToImprovements - Line (6) plus (7) equals (8) (8) a 3 % 70
eb� certify the above is true. correct. and complete.
Sm Algte of Assessor
Assessed Homestead
Valuation Valuation
/7a
oa:e
L
Date: