HomeMy WebLinkAboutHomestead_SollmanFOAM HL 10 1979
Preu�i6ed By State BoarO al ta. Commissianers
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 ��
io Be PileG in Duplicaie
✓
SEE BACK FOR FILING INSTRUCTIONS �//� �Orl ({ 3� 00
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`�, (We) J ��'�^-F'�" , � `�• 'r �" � � � K . certify that on the tst day of
March, 19�, I, (We) occupied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is h^ereby bein aimed:
I, (We) ❑ owned � � I d—��-��
� are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in �� Cou
Taxing District (City, Town, Townshipj:
Parcel Number
�✓u-c,-.
Township
or legal description shown on tax statement:
/� t
lJ/F . /�/ W ��f /'i- 3 - /o .�6
If buying Ofl contract: Owners name ��ee sb�Pie ownerl �
Contract recorded in Recorders Ofiice - Record
If any portion oi the residential structure or the land, not exceeding one (1) acre that immediately surrounds that
siructure 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 aboye statement is true, correct and complete.
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 -
Land not exceeding 1(one) acre immediately
surrounding residential improvements
Other Land
Total Land
Residential Improvements�����a, Dwelling
ti
-��Garage
a� Total
Other Improvements �9AR 17 19..
T� Improvements - Li���a}�� (6�U.r,li 7
I����re6y certify the abov� i's irufp�qtTbaf? d complete.
Sigeumre ot Assessor
APP
True Cash
Value
( � ) i o-o
(2) �
Assessed
Valuation
300
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- ACTION BY AUDITOR -
76 �/8
Homestead
Valuation
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