Homestead_Newton (2)FOAM HC 10 1979
Preu�i�ed By Slare Bw�C ol iaa Commissioners
To Be Filed in DuDlicate
CLAIM FOR NOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19�
SEE BACK FOR FILING INSTRUCTIONS �S�OI.�O�
,,(We) � certify that on the 1st day of
rarch, 19�, I, (We) o pied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed: - / .� /
I, (We) IJ owned ��^�%�o� ' �'��� •3G7— GO`�
❑ are buying under contract
❑ have a beneficial �teresf in the taxpayer � ,
Property Description in e County Township
Taxing District (SiSy,.Sown, Township): ���t�rr,.,-�x.n.�� ,
Parcel Number or legal description shown on tax statement:
�, S�, � i a- 3-i a �� ��.
�
If buying Ofl contract: Owners name ��� s�moie ow�erl
Contract recorded in Recorders Office - Record No. Paae
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 certity the above statemen[ is true, corr,ect and complete
County
Township
59naNre" Jveet nCaress — Gry. Sca�Jada Zio �e -
� ��.L-a7, i9�y
' Individual ither 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 � � �p �q �
Total Land � �
La �e
Residential ImpFovements
JUfV 2� i979
0
Dwelling
Garage
,�-,/ �/L�/� –� Total
Ut � :�-��iL
Other Improvements � AUDITOR
Tn'^� Improvements - Line (6) plus (7) equals (8)
I�by certify the above i� irue. correct. and complete.
True Cash
Value
(7) � o 0
,2, a 9 0
�s� 79a
�4� i 53/ 90
�5� — o —
�6,_l S� 9a
(�) l9S�o
�s) 0 / C)
�L � l R�] ► �� l' f1 O! 7 � i� 7 L�
Assessed
Valuation
�
����������
�������%%
.
lo�%T-O
oa:�
S
Homestead
Valuation
/7 O
-/�-71�
0
Date: �
. i