HomeMy WebLinkAboutHomestead_Chandler. CLAI��1 FOR HOf�STFAD PROPERTY TAX CRmIT FOR YEAR 19_ �,a� _ I 4 gd
EE BACK FOR FILIN6 INSTRUCTIONS
�,�rJe� ��^ • •��/� � 0'�-�-.-�� oc oertify that on the lst day of
r� ch, 19 , I, (F1e) occiroi as our princioal ol of residenoe the follo.aing des¢ibed"real
nrooerty for which a Hotnestead �roperty Tax Credit is hereby being claimeii::
z 6a�) ❑ �a� G�� - 030? -O/-¢30� -010. /�%%G�
� are buyinq ur�der wntract �D�-- �0�97 QQ
� have a-beneficial interes�t in the taxpayer � �
Pronerty Description in CT/�t$�a5✓ �imty �/6•e-.�5�.✓ Townshin
Taxing District (City, Twm, 'Ibwnship) : ` �
Parcel i7imioer or legal descrintion strnm on tax statenent:
�. LcJ z i- 5�— ii /i o y<
If bwina on �ntract: O+mPSS n3me (fee sinrole owner)
Contract recorded in Re�rder's Office - Record I3�. Page
If any portion of the residential structure or the land, not e�eed.ing one (1) acre that
iim�ciiately surro�s that structise is used tn produce incane, describe the use azri partian of
tne oroperty utilized to produce irrnme
Pny other ��mties in which individual owns or is buying mal property:
��rehy cpT�lfy the above statarent is true, a�rrect ani can�lete.
COlII1tY Z�JWI]SIL1A
*Signature Street Address City, State and Zip Code
*Individual either aarLS or is buying tmer a�ntract that provi.des he is to .pay the
oroperty.taxes on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR�S USE ONLY -
True Cash
Value
Iarxl not exceeding 1 tone) acre iimnedi.ately
sisro�ling residential i�rovanents (1) �T�
or.n� �a cz) .3 7 70
Totai r�a c3) .� 70
P.esidPntial 7imrovarents L�aellin4 (4)
Garaae
TOtdl
Q{'11� ITIIIJI'0�7HIlPS1tS
(5)
(6) c3 C� [y�o 0
�%�
Assessed
Valuation
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Te '. Ssrorovements - Line ( 6 ) plus ( 7 ) eauals ( 6 ) ( 8 ) �
neseby certify the above is true, correct, and �lete.
_�'
Sianature of Assessor ��
- ACTION BY P.UDITnR -
�omvec:
Date:
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