Homestead_StoneFOFIA HC 10 1979
PrescriGetl By State Boa�G of ia. Cammissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19Z
lo Be FileE in DuDliwte
SEE BACK FOR FILING INSTRUCTIONS �,S�VJ r�^
� (Wel� � `�+� �' �-� • 'E" � „ - `--1 - certify that on the 1 st day of
.�arch, 19�2, I, (We cupied as our principal place of r s' ence 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 intefest in the taxpayer
Property Description i
Township
Taxing District {C-it}T�ewn, Township): / /'���[�� � '
Parcel Number or legal description shown on tax statement: gyJ
� y �-�- a � 3 a�--
361i� �� 3 ii ^
If buying Ofl contract: Owners name ��� simple owneq Q
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
-C�d/ /o7oZ —��/
Any other counties in which individual owns or is buying real property:
� hereby certify the above statement is true, correct and complete.
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County Township
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Individual either owns or is buying under a contract that provides he is to pay the pro�erty taxes
on the residence, or has a beneficial interest in the taxpa�• .
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- FOR ASSESSOR'S USE ONLY - r,.� �� �' ��;
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Tr e Cash Q,�ssessed Homestead
Land not exceeding 1^t�)�cre immediately
surrounding re�i�eqtial improveri��(�
Other Land �• �
Total Land � / ��'"�
Residential Improvements A�DITpR
Garage�� �5>
�s� � / 9�- o
Total
Other Improvements
Improvements - Line (6) plus (7) equals (8)
by certify the above �S true. correct. and complete.
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Value Valuation Valuation
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- ACTION BY AUDITOR -
DateJ1�, 01 L. ` g' %�
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