Homestead_FieldstUNlA FL Ip IYl9
Piesc�ite0 By Sta�e BwiO oi la. Commissioners
C�AIM FOR HOMESTEAO PROPERTY TAX CREDIT FOR YEAR 19 ��
�� V ' `' SEE BACK FOR FILING INSTRUCTIONS
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1�1 -,a ^ ' '�°� JVtil .! � � , IXXC�C/-�-1
Ne) � erti(y that on ihe tst day of
ch, 19 I, (We) occupied as our principal place of residence the (ollowing described real property tor
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) owned �L -�D -.J.�- /O�—�� S�� Q��
❑ are buying under contract
❑ have a beneficial inter t in the taxpayer
Property Description in ��-�� County ��l�%YS Township
Taxing District (City, Town, Township):
Parcel Number or legal description shown on tax statement:
, �. S.F.I/� -33
I( buying Ofl contract Owners name ��ee vmoie owneq .
Contract recorded in Recorders O((ice - Record No. � Page ��QS—
If any portion o( 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:
by certify the above statement is true, correct and complete
�
County
�
�
Township
;V, �(e 7,(J
o�y��e.o . .. , . _ . . ....... . ............ Cl�p. S�:ve .�w�Z�p C«�c
'-Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a bene(icial interest in the taxpayer.
����� - FOR ASSESSOR'S USE ONLY -
i
APR 1 a 1989
Land e g sacre immediately
surroun in ���rovements
Other Land
Total Land
Residential Improvements
(�)
(2)
(3)
Dwelling �4�
Garage �5�
Total �6�
True Cash �ssessed Hornestcad
Value Valuation Valualion
Ot�mprovements ��1
To 4nprovements - Line (6) plus (7) equals (8) (s)
I h y certify the above is true, correct. and complete.
Sigmiurt ol nsseswr
- ACTION BY AUDITOR -
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o;,��.
APProved: l�t��(-� +� - / / I ���� Date: _ __l_I �_-L I � -/ --