HomeMy WebLinkAboutHomestead_BarrettPO�M HL 10 1979
fiewiOeE By Stare Board al Ta� Commissioners
ia Be FileC In Wp6cate
CLAIM FOR HOMESTEAD PROPERTY TAX CREOIT FOR YEAR 192`�
SEE BACK FOR FILING INSTRUCTIONS
�(We) +�-a-� �-a�¢�-c-"- U. +�- LL(�c.,�-Q-- certify that on the tst day of
arch, 19�, I, (We) occupied as our principal place of residence the following desciibed real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned
� are buying under contract
❑ have a beneficial interest in the taxpayer
�//-Doo i�7-Da
Property Description in G- � 6 s o�✓ County y'v� �^� Township
Taxing District fEity, Town, Towrrs+tip): �f, %3/'aN�-h
Parcel Number or legal description shown on tax statement:
�t• W��z �e i5< /.3-3-/� ./SA
If buying on contract: Owners name ��� simD�e
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.
�-
��,,,n.�,-,.ce �i �/�rz�.� �/ a � /1/. �� ,{�.1� �i,,.,,f',F4no-,�<.�, �-i. 4
'SigwWre SUeet Aaoress Ciry. State ana Ziv �e
' 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 im rovements _
Other Land � � � � �
Tota6 Land -
Residential Improvements �UN 1 1979
4 --- Dwelling
^ arage
��� �I
Other Improvements AUDITOR
Tr�-� Improvements - Line (6) plus (7) equals (8)
(*zby certify the above is true. correct. and complete.
SgnaWre ot Asseswr
Approv
True Cash
Value
(t) rJoo
(2) —
Assessed
Valuation
a3o
(3) '700 ��-�
(4) �
(5) ���
( 6 ) !'�'�'TL'T
(�)
(8) �
- ACTION BY AUDITOR -
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:
Homestead
Valuation
�i���
`]i2� �, i 9 79
oa�e
Date: ��f�
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