HomeMy WebLinkAboutHomestead_Higginbotham (4)FOPM HC 10 1979
Prescrihed By Slaie BWrO of iaz Commissfaners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19Z
��(We) �w,eri,,. �..r�-,Qc�.,.v �—�Yy.1 f 11�L�e� �n-.�,
arch, 19Z�, I, We) occupied as our principal place of residence the tc07i
which a Homestead Property Tax Credit is hereby being claimed:
�
I, (We) ❑ owned
❑ are buying under contract
❑ have a beneficial ir��rest�in the taxpayer
Property Description i
Taxing District ( iC�fow S-iownship): !l�Y�
Parcel Number
If buying on contract: Owners name �'� �""o'e °""ef�
io Be Filed in UuDlicate
Qo5 -oo8al
certify that on the 1st day of
ing described real property for
c��-/7-09 0?� -�• �°�-d �/
/��2� c'-�d Township
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or legal description shown on tax statement:
� N� � 9- 3�- i� /�-�-
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:
� hereby certify the above statement is true, correct and complete
� _ �
Street Atltlress
County Township
Ciry. State am Zip Coae
' 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 t(o� a�e im�diat� �
surrounding residential improvements
other �and MAY 2 1 i979
Total Land
Residential Improvements�� welling
AUDIT�R
arage
Total
Other Improvements
�Improvements - Line (6) pius (7) equals (8)
,,r� certify the above is true. correct, and complete.
True Cash
Value
(1) 5 O o
r2) - ° -
(3) �5 0 0
(4) /7l0 3..0
�5� — a —
(6) �7 lo �--o
(�) — o —
�g) 17�c �-o
- ACTION BY AUDITOR -
Assessed
Valuation
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Da;e
Homestead
Valuation
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Date: s'��� L/