Homestead_Barrett (8)FORM HC 10 1979
Presuioen By State Boam of Tax Commissioners
To Be Filed in Duplicate
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19_ ?
SEE BACK FOR FILING INSTRUCTIONS
®'We) ' °-� J i. c,:,.. i= ,fS:.41,1r;r fy that on rthe 1st day of
March, 19 >_L, I, (We) occuplGiVas our principal place of residence the following described real property for
which a Homestead. Property Tax Credit is hereby being claimed:
I, (We) I!T owned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description
Taxing District +G4r ,, Taws, Township): /�YUnd
Parcel Number
If buying on contract: Owners name 11"
WG - / / -/ 9- Q3aa - '1/
Gi „ /Township
ITia,i
legal descrription shown on tax statement:
Q %cufX /9 -g -// �F3.iid _.
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
Any other counties in which individual owns or is buying real property: County Township
hereby certify the above statement is true, correct and complete.
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.
Approved
Assessed Homestead
Valuation Valuation
j -S" -79
Dare
Date:
FOR ASSESSOR'S USE ONLY - .
True Cash
Value
Land not exceeding t ( one i tVaD el
surrounding residentialimprovyent
Other Land
(2) A D 3,50
Total Land
JUIV
1979
1' S (3) 1b O
Residential Improvements
r, ,.,�,,;
u2 g
(a)
(s) / 3 oa_-
AUDIT�otal
(6) _L9(3 S -d
Other Improvements
(7) 3 90
T�Improvements - Line
(6) plus (7)
equals (8)
(8)
I Mby certifyvthe above
is true. correct.
and complete.
SI n + re of Assessor
ACTION
BY AUDITOR -
Approved
Assessed Homestead
Valuation Valuation
j -S" -79
Dare
Date: