HomeMy WebLinkAboutHomestead_Braselton (3)FORM HC 10 1979 70 Be Filed in Duplicate
Prescribed By Slate Board of Tax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 79
�/�—
place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) K owned
❑ are buying under contract
❑ have -a beneficial interest in the taxpayer
Property, Description inc County Township
Taxing District rrToaan Towns hip):
Parcel Number
If buying on contract: Owners name 0
legal description- shown on tax— statement:
�XGrI
Contract recorded in Recorders Office - Record No. Page
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
�ereby certify the above statement is true, correct and complete.
Address ' City. Stateand Z, Code
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 -
Land not exceeding 1 (o acre imniediatplv
surrounding residential ive entsil
Other Land L
Total Land
�`:;Residential Improvements
JUN 0 71979
Other Improvements
Dwelling
I e
AUDIT&tal (6) Y 3 70
(7) 0
(8)
gpprl �5 to
True Cash
Value
(1) Sow
(2) S w
(3)
(a) y37o
(5)
Irovements - Line (6) plus (7) equals (8)
certify the above is true. correct. and complete.
of Assessor
Approved
- ACTION BY AUDITOR -
Od
Assessed Homestead
Valuation Valuation
//70
,> 7— 79
Cate
Date: e�h —717q-r-