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HomeMy WebLinkAboutHomestead_HicksFOR1d He 10 1979 - Piewntred By State Board of Tax Commissioners To Be Filed in Duplicate CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 1g2, O SEE BACK FOR FILING INSTRUCTIONS ©o y -o 337 -00 i t We) rip- certify that on the 1st day of March, 1929 I, O -occupied as our principal place of residence the following described real property for which a Homestead Property. Tax Credit is hereby being claimed: 3 I, (We) ja1 owned OT(o - �`� �d - &:10 -QO. 2,5 / Z6 ❑ are buying under contract - ❑ have a beneficial intere t in the taxpayer Property Description in_2 County 9� Township Taxing District W74tr, Tewm, Township): a Parcel Number or legal description shown on tax statement: 3` sut ' "5/ /67-,3 -'.0 If buying on contract: Owners name 0- slmin" ownert 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: certify th ab ve s ment is true, correct and complete. Street Address County Township City. State and Zip 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 - True Cash Value Land not exceeding 1 (one) acre immedia surrounding residentiarle ents (1) J o0 Other Land �° (2) Total Land (3) JUN 2 ; 1979 a Residential Improvements '� Dwelling (4) /�l�u.��t Garage (5)- 7t/��7�— AUDITOR Total (6) - -Z Other Improvements (7) Tr'-' Improvements - Line (6) plus (7) equals (8) (8) 74 8- i -eby certify the above is true. correct. and complete. 0_1J�lyQ Sig. '4' Assessor A j - ACTION BY AUDITOR - APP Assessed Valuation / ?o rz Homestead Valuation Date: �! -