HomeMy WebLinkAboutHomestead_SchmacherFORM Bc 10 19R
Prescribed By State Board of Tax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 75P
SEE BACK FOR FILING INSTRUCTIONS
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned
❑ are buying under contract
❑ have a beneficial interest jp the taxpayer
Property Description
Taxing District (Gify -T-awn, Township): /9
Parcel Number_ ..
If buying on contract: Owners name (lee simple owner)
To Be Filed in Duplicate
00(- 00d10'a'- 00
s_. certify that on the 1st day of
lowing described real property for
< Township
or legal description shown on tax statement:
S' y ,1/C''/ /y -.:I -9 &9. vas
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:
hereby certify the above statement is true, correct and complete.
Ak
County Township
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 -
True Cash
( ® ®®®® RRq Value
Land not exceeding 1 (one) a iiedia�jely E
surrounding residential impro ment � (1) -5'oo
Other Land (2) 99 -To
Total Land
Residential Improvements
Other Improvements
JUN 7 1979
' AU%NR
Tn' -I Improvements - Line (6) plus (7) equals (8)
1 ObA certify the above is true. correct, and complete.
(3) / O V _3-.d
(4) 2 .7 Yo
(5)
(6) / � Z Q
(7) / 0c, 0 .
(8) -;2 o
Assessed
Valuation
Homestead
Valuation
is
� S ?O
S /-5= '79
Dale
Approved: Date