HomeMy WebLinkAboutHomestead_MintonFORM Bc to 1979
prescribed By Stale Board of Tax Commissioners
To Be Filed in Duplicate
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19ZZ
SF
E BACK FOR FILING INSTRUCTIONS
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4R, (We) certify that on the 1st day of
arch, 191.?, I, (We c ied our principal place ofigesidence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed: /
I, (We)AK owned �(o-070'a %— 660 •d75 5-W- 01
❑ are buying under contract
❑ have a beneficial interest in the taxpayer /�
Property Description in A z �m *_ County zfa � - Township
Taxing District (6-0r, Tewn Township): —
Parcel Number or legal description shown on tax statement:
A46-* NEy a7-3-9 9s��
If buying on contract: Owners name flee simple owner)
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.
Street
City, State and Zip Code
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
True Cash
Value
J d0
surrounding residential improvements
Other Land
v 9 59 0
Total Land
oa
Residential Improv en
F I L
Dwelling
JUN 2i 1979
Garage
10!030
Total
Other Improvem.4 /�
f
TI-1 Improvements [ine (6) IAwDI(70Fbquals
(8)
I by certify the above is true. correct. and complete.
A
of Asses.,
(1)
True Cash
Value
J d0
(2)
(3)
v 9 59 0
(4)
oa
(5)
—
(6) zoo
(7) y3 0
(8)
10!030
- ACTION BY AUDITOR -
Assessed Homestead
Valuation Valuation
1
as-t
Date
Approved: *w) Date: