HomeMy WebLinkAboutHomestead_Wilson (4)FOPM MC 10 1979
HescriGed By Siate BaarE ol Ta� tammiuioners
CLAIM FOR HOMESTEAD PAOPEflTY TAX CREDIT FOH YEAA 19Z�
Ta & FiIM in Mplrcate
SEE BACK FOR FILING INSTRUCTIONS �O �_�'� +
�(We) �� T�• `� C�� ° certify that on the 1st day of
�vtarch, 19�, I, (We) occupied as our princip plac of residence the following described real property for
which a Homestead Property Tax Credit is hereby beirig claimed:
I, (We) B w ed
❑ are buying under contract
❑ have a beneficial i,{�terest in the taxpayer
Property Description i
Taxing District (Cif�-Township): / ✓�-
Parcel Number
If buying on contract: Owners
��-/���-�a -�!939-��
nty �,���Township
s 4
��o gal description shown on tax statement:
T. S� yy� 3-3- /� z. �G �
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 buying real property: County Township
' hereby certify the above statement is true, correct and complete.
�\�f ('(� `` � �1�6
\l(E1.� l.�l.Si L1A� �'\ ��Y �AI.QM��...OPO
��� 1`� � Sneet AaaresS � ' Ci[Y. Sute ana Zio �e
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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 residential improvements
Other Land
Total Land � 8 � �
Residential Improvement� �979 Dwelling
JUr� y • Garage
//'�i`� Tolal
Other Improv�t � �
pUDITOR
70'-' Improvemen Line (6) plus (7) equals (8)
I�� certify the above is �rue. correct. and complete.
%�
True Cash Assessed Homestead
Value Valuation Valuation
�i� .7 oa
(2) � .5 D
(3) ��D
c4> � ,3 0 0
�`�) _ ° '
(s� 7 3 c�
(7) o� �o O
�s� 7 S'6 0
- ACTION BY AUDITOR - -
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