HomeMy WebLinkAboutHomestead_HuntFORM HC 10 1979 To Be Fileo in Duplicate
Prescribed By State Board at Tax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 .257
SEE BACK FOR FILING INSTRUCTIONS Oaf- 003Gp -oo�
(We) ar vr- (2)U A, 1,kXlt certify that on the 1st day of
arch, 19_71_, I, (We) occupied a our prin6lpal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) Elowned
❑ are buying under contract
❑ have a beneficial intere in the taxpayer p �,.�
Property Description in County 1612A [1, Township
Taxing District (City, Town, Township):
Parcel Number
If buying on contract: Owners name 11" "mole owner)
or legal description shown on tax statement:
a. �Q�Gy �Cc)�iy � 3-9 .36-�9
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
C;,?6- C,?O- 6a -a30y -600.309 - -Q01
Any other counties in which individual owns or is buying real property: County Township
IND hereby certify the above statement is true, correct and complete.
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 1 (one) acre immediately
surrounding residential improvements
Other Land
Total Land
Residential Improvements
FLED
Dwelling
JUL 3 11979 Garage
aTotal
Other Improvements . r /t�
T ' Improvements - Line (6) lus •(7) equWbR
eby certify the above is true, correct. and complete.
Signature of
True Cash
Value
(2)
(3) ---ff0
(4) D/o-
(5) /0a0
(s) _oL 3 0
L•
Assessed Homestead
Valuation Valuation
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(7) 1
(s) X030 aze�e
- ACTION BY AUDITOR_:
Approved: //�
7 -31-75'
Dare
Date: 7— a I'7�?