HomeMy WebLinkAboutHomestead_Fisher (2)h .,,,�„ o� .o._ _.,..� ,.. ._. „�mmissioners
CLAIM FOR HOMESTEAO PROPERTY TAX CREDIT FOR YEAR 19�
SEE BACK FOR FILING INSTRUCTIONS
io Be PileG in OuO��cate
�5 -oosB3
(We) ����+� f � ��� 'r' �� certify that on the 1st day of
.,�arch, 19�_�, I, (We) occupied a our principal place of re idence the following described real property for
which a Homestead Property Tax Credi4 is hereby being claimed: -
(We) ❑ owned /
❑ are buying under contract �'° �7 �a p?C� -�Lb• -3 �3-Q�
❑ have a beneficial ir�terest in the taxpayer
Property Description
Taxing District .�Cit�,�ewa, Township):%' 1u�i.�-.
Parcel Number
If buying on contract: Owners
ow�e,i
� Township
or legal description shown on tax statement:
�;/1JE%� 3a-3-�a �gi
Contract recorded in Recorders Office - Record No. Page
If any portion of the residentiai 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 properiy utilized to produce income
Any other counties in which individual owns or is buying real property:
hereby certify the above statement is true, correct and complete.
�^'-
Sveet AOdr¢55
Counry
Cay.
Township
e���
antl Zip Goae y-7 6 33
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) acr�imrr�diat�,
f
surrounding residential improvemenis (�) ���
Other Land
Total Land
Residential Improvements
Other Improvements
MAY 2 � �979
,� , �u�:ri �'
�
� •
Improvements - Line (6) plus (7) equals (8)
by certify ihe above is irue. correct. and complete.
ot As5¢550f
(2) — � —
(3) ��SC O
(4) J � c�
(5) ^ o --
(V � �l � Q Q
(]) � o-0
�a� ��Y o 0
- ACTION BY AUDITOR -
Assessed
Valuation
—�70
��b
� �
���������
j/��jj�j, ,
Homestead
Valuation
�—
�1�
S-/0-79
Oate .
Approved: � • � ��� Date: _.5—��-- �—