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Homestead_Bratton
'��;•I I 1 VIA I!1.: LJI Litt t 11\i1 Li,t I II'v� �.i•L. i I �.'�i iu u _(�O : SEE, BACK FOR FILING INSTRUCTIONS certify that on the 1st day r,; '0-rch, 101-10, 1, ('Vie) occrmied as our princ p place of residence the .following described real roF=ty for which a Ilmrastead Property 'lax Credit is hereby being claiji'cd: are- br.,,rinq u_r6e-- contract poi nave a baneficial interest in the taxpayer �o erty 0.scrip ion. in 9U'144 •' County '1'v.,-1 ISII i 'a ng District (City, Tc�,n, township) b�^S� . >escei N :cr I I or legal description.shorvar on tax statamait: i i __ bu':ing on contract: O..nars rojre (fee sinrole owner) Conract recorded.in P°OJrder's Office - Pecord lb. Page r a;ry mrtion of the residen ial structure or tre land, not e:ceocIing one (1) acre that rrn:_cliately surnou,-r1s that structure is used to produce iiiccine, describe the use aid portion o: -,a pro perty u`.i lized to pr—cduce it -come re puler „,ties iS; wi ich irdivid» chats or is buying real property: Cowl itr:.nsluo n� TOTr� I lr rehv certify the eve stateant is true, correct and complete. 0rT 3 0 1509 9 C� —_ 4 �� s__..e, v Street i?d ress y> n �' ,"S,anaiu e om s or is tuying uner a contract ttyat provides TC he islGtn pay the *individual eit}n_r tax=s on the residence, or has a ben eficial interest in the taxpayer. property - FOR ASSESSORS USE ONLY - 1x11-6 not exce-er'.! ng 1 (On°) acre 1muredia' ely sur ourding resident= 1 is ova ns!ts O Cher Lind Total Lard ire Sii(]an L lal Lip -roV lien s M1� u D::e11inq (1) (2) (3) (4) True Cash Value Garage (5) rib ta.1 (6) _ oche—i p oJanens (7) _ lb Ilnproveliznts - litre (G) plus (7) .equals (©) (a) 1 WY Cori`i •y'y ule rove is true, correct, ar-f3 G- ITOlet °_. Filature- of Assessor - ACTIOII BY i'UDITM - tusessed Valuation W to crn� p • 1 Date: to 30 i� ValuaLk: i