HomeMy WebLinkAboutHomestead_SharpFOqM HC 10 1979 � To & FileE in DuDlicate
PrescriEeE By Stare BoarG ol Tav Commissianers
CLAIM FOR HOMESTEAD PAOPENTY TAX CREDIT FOR YEAR 19 79
SEE BACK FOR FILING INSTRUCTIONS ��Q�S�7
�(Wel �,(%Jy / �. °�'" ��.e'u�c°-�-Fertify that on the 1st day of
arch, 19 I, (We) ccupied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) I� owned
❑ are buying under contract
❑ have a beneficial interest i
Property Description
a�-/Q -.�.� - 3oa- oG/ s47-��.�
the taxpayer
Taxing District�.CiEy-%awn, Township):__��
CJ
Parcel Number or
/
If buying on contract: Owners name ��� simo�e
Township
on shown on tax statement:
Contract recorded in Recorders Office - Record
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 buyin9 real property:
hereby certify the above statement is true, correct and complete.
County
Township
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 1(one) acre immediately
surrounding residentia�pr�vem�s � �
Other Land
Total Land
Residential Improvements JUN �`� 1979_ Dwelling
� �
Other Improvements
AUDITUR
Garage
Total
vements - Line (6) plus (7) equals (8)
rtiTy the apove is t�e. correct, and complete.
4ssessar - 1 I
Approved
True Cash
Value
c, � ..� a a
(2) 39�
(3) � Q
(4) �0 7/O
�5� — o —
(6) � 7/ O
Assessed Homestead
Valuation Valuation
/7a
, .,
(7) 5 �l D �8c��
�a� 7� 9 0 3�
�~—/7-7i
Da�e
Date: — Z