HomeMy WebLinkAboutHomestead_IrvinPOPM HC 10 1979
NeuriOeE By Siate BoarE nl 7a+ Commissiane�s
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 �`j
��we� c�-L-�-.�, Y�'.�.�,_ `�c � 7�_ 5�
� arch, 19�� _, I, (We) occupied as r principal plac of resi en�
which a Homestead Property Tax Credit is hereby being claimed:
ia Be FileO in Dupliwte
1��L`ertify that on the 1st day of
following described real property for
I, (We) ❑ owned D// -� �Q ��� ��
❑ are buying under contract
❑ have a beneficial inpt/eres,t in the taxpayer �, /
Property Description in �Lc�-�+.� County G�t-�—�- Township
Taxing District rr�own, Sewash+p): '��• �/�+�—�--�.
Parcel Number or legal description shown on tax statement:
%u-�a.�c-�.�-C- ��L�C. .3z � 33
If buying on contract: Owners
Contract reco
If any portion of the residential structu
structure is used to produce income,
Any other counties in which indi
�hereby certify the above
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� �AY 3p j9j9
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A
Land not exceeding U1�(�� re immediately
surrounding residential improvements
simple owneq
in Recorders Office - Record No. Page
`t�e land, not exceeding one (1) acre that immediately surrounds that
Jz�,the use and portion of the property utilized to produce income
buying real property:
correct and complete.
v� s�- =
County Township
� Y�
` Sueet AaGress Cuy. S:ate entl Zio Cooe
-`� ,s/� 7/� �
or is buying under a contract that provides he is to pay ihe property taxes
'esidence, or has a beneficiat interest in the taxpayer.
FOR ASSESSOR'S USE ONLY -
Other Land
Total Land
Residential Improvements
Other Improvements
True Cash
Value
(il g SD
(2)
�3� g J�
Dwelling �4� ��
Garage �s1 -� �$ 80
Total �6j �
To;�lmprovements - Line (6) plus p) equals (8)
I�by certify the above is true. correct. antl complete.
�� ��
Sgnarore oi Asseswr
(�)
(8�°
- ACTION BY AUDITOR -
Assessed
Valuation
_�S D
�— S o
Homestead
Valuation
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Date: �� 3��