Homestead_Kiesel�� CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19_��=8/�� ��
FOR FILING
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NS
�� � v�V`�'�'4' � � . certi(y that on the 1sl day of
19� I, (We occupied as our principal plac�`o r�esidence the following described real property for
a Homestead Property Tax Credit is hereby being claimed: �
I, (We)�lYowned .
❑ are buying under conlract .
❑ have a beneficial interest in�the taxpayer ` � ,
Property Description in �'JA�� County - t�/�' Township
Taxing District (City, Town, Township): _ �
Parcel Number .�'� or legal description shown on tax statemenl:
. . �y� w��y ag-3-io 3.o��c
If buying on contract: Owners name ��ce s�mo�e ow�erl
Contraci recorded in Recorders Office - Record No. S Page 4�
If any portion ot lhe residential structure or the land, not exceeding one (7) acre that immediately surrounds that
structure is used to produce income, describe the use and portion of the property utilized to produce income
, �G - /9-�P-���� - a�
Any olher counties in which individual owns or is buying real property:
I hereby certify the above statement is true, correct and complete.
�33- 4�
County Township
. d' . . � ,, SVee� AEaress , G�p'. Si.vc am 2�n Coac
Individual either owns or is buying under a contract that provides he is to pay the �br, p�tAl ta�
on the residence, or has a beneficial interest in the taxpayec �' `�1���
- FOR ASSESSOR'S USE ONLY -
and not exceeding 1(one) acre immediately
�urrountling residential improvements
)iher Land
otal Land
lesidential Improvements
Dwelling
Garage
Total
)ther Improvements
otal�ovements - Line (6) plus (7) equals (8)
her�.,. certity the above is true, correct. and complete.
iqna�ure ol Assessor
True Cash
Value
(�) -�5 0 0
(2) / 2 0 0
�s� `/ % o c�
�a� aa�oo
(5) —
�6� a a �6 m_o
�7� a 900
(8) a S St�O
- ACTION BY AUDITOR -
MAY 0 9 ]989
S
As AUDIT� stead
Valuation aluation
I / � e�
'� b b
IS7�
7��3�
9 'i o
$SOp
U:vr
7�3 �
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p. `1'Yl�- -- �.���: - ---5-�-�9-