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Homestead_KernsCUa1Fi FOR fIC��STL-�� Ff1�PERlY TA'r; C��IT FOP, Y�F�t 19� S[E BACK FOR FILItdG ItdSTRUCTIOhlS . �' �9 Y� I,'�,,;e) � ��, �' d�-F�L�\4�M� certify that on the lst dal c� �'.,=,�� 1cYyr_. I, (y7e eccimis3 as our princLOal �lace or resid�i� tl�e follv,aing described real . �_�, ��•rty Lor �•�hich a Fiorrnst�ad °rop°-rty T�r: Credit ie herel�y b°-ing claurc�3: z, r�;z> C�� 0?�-/7'3�-3�-G�. 95��-Q�-/ � are b�r; inct urrler crontract � hav= a��°ficial interest in the `a}�ayer Froc_rty P�scription in W�),X,�13�1�\ ��1tY ,��. _ 'Ib.�i,}�i - � Ta ing District (City, Ta:•n, 7b:anstup) : P�c�l tltmd.�.s or legal clescrintion sirswTi on tar. stat�r�it: t�"� SA.,�y •�L�.r�IU 3in-3') �^ ��ol(3C. ?= bll':1117 011 cr�ntract: O.�n�rs Ik31i1° �TO° Slli"iJ12 O�•771_i Contract r�ord�3 in P°c�rci_r's Office - P�-ord tb. Pao� I_` any _r_ortion of the resiciential stn:cture or �t�e land, not e.��e�ling ons (1) acre t�iat iri;:�iiately sLUZ-ou-ds `i�.at structure is use3 to produce incan_, ciescrib° tlie use arri �rtion ef uie oroe�sty utilized to preduce ir�o;re An�� other .muitties in which inciividual a.rns or is bvl�ing real pm�-rty: �un�� :•�isiuo CSi1f'j' t}}°- �3�O1�2 S`�dt�[L�SIt~. 1S tLU°r W27�'t c37T� i��_ �.°-t°-. t�� $tr3t� �7t[1 L1[) (�:U". 'Inclividual eittn_r a•.r�s or is b�}�ing uner a mntract t}ti�t provids he is tD oa•y tt�_ p?-o�sty ta.�°s on t�ie residence, or has a kpseficial int�rest in th� tar.wver. - FOR ASSESSOR`S USE Oh;LY - True Cash ��d Ill° Isy�i not evc°�in9 1(on�) acre in�rediat�ly . surrourrlinq resid�Itial iTr�pro��ts (l� �� (2) G o O�ler I,an:3 'i'o�l Lattd �f� � � � � (3) S�oo P°Sl(3°J1t131 IIITJTOVQIg71 RaelLing (4) � PIIA�2191986 ��a°° < 'ibtal Oth�r Isr�oro':enents f! J��r�:,fl 7b � L�nro��rL-�ts - Lin° (G) plus (7).eauals (f3) (5� (6) os 8 g � ��) (B) �.:se:al� c:stifj' tiie a�o�� is true, correc`�, zsxl czaimlete. ia�ature oL Tssesser - �CTIOh! F1' pUDiTnZ - !US_SSf7� �7�t13tLC11 1�0 �O �� /%f/%�%/% �/ / / //// t� ;..r.� _*�<<r:: t� o, �,t�: 3-1 5-�'� I 1rIIv`S t J.. Vdlll�lil^_: i�v � ,i ;ii ..•..i �� y�! '/j� ii/i��;�.i: � %i�:�:.. �. %i //�� j ; �: ;,��.L��_ �� i/� � . / ,` /9Ga �/ / �/i � !///./%,