HomeMy WebLinkAboutHomestead_Moitwen+ hc �o �9ze
Preuti0e0 By Staie BoarO at TaR Commissfoners
io Be FileO in DuoliCate
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19-79
SEE BACK FOR FILING INSTRUCTIONS O�7 �61� �'+
�(We)��?� �, �� J�`� �� �� certify that on the 1st day of
,�tarch, 19�, I, (We) occupied as our principal place of re§iden the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned
❑ are buying under contract •
❑ have a beneficial ir�te,rest in the taxpayer
Property Description i ��
Taxing District (6ixy-�e+»n-Township):. _
Parcel Number
If buying on contract: Owners name ��� simple
Contract recorded in Recorders
�� /7-�3-�4�-a�//7� a�
�unty ��7 � Town hip.
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If any portion of the residential structure or the land, not exi
structure is used to produce income, describe the use and
of the
Any other counties in which individual owns or is buying real property:
„� hereby certify the above statement is true, correct and complete
�
shown on tax statement:
— /
County
Township
�_
income
' Individual either owns or is buying under a contract tnat prowdes ne is to pay tne property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE
Land not exceeding 1(one) acre immediately
surrounding residential improvements
Other Land
Total Land � � � �
Residential Improveme� Dwelling
JUN � 1979 Garage
Total
Other Improvemenis
�� �
T�'�'�Improvements - Line ) plus (7) �i ���)
I�by certify the abov_e is true. correci. and complete.
o,
Y
True Cash
Value
(�l SO O
(2) � �D O
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(4) �ia ,3 U
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(�) /l0 D
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ACTION BY AUDITOR -
��
Assessed Homesiead
Valuation Valuation
� _ / s'— 79
oa,e
/ 7 t�
D �,,
Approved: ��� � n�'-�' Date: �P ��%
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