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HomeMy WebLinkAboutHomestead_Grisham1.U1!I'I 1 U(( fIU'LJIL"1�!J i'IlU1`IJti i irv� u_ui� i vr iu� L�� ! �/ ; S�E Br�C�C FOR Fi i�'G lI•!ST UCTIOi�lS _ Z, '•.,�;�)_.� ` �� '` (,L . certify tkiat on the lst da1 c t P'��scii, 1 :, I, (rre) cccu-n � as our prin oa olace of resid�� tt�e .follo�uing descrit�d real . nrvj,erEy.'=o• �•;^ich a!!�r��� °m�»»sty T�c Credit is hereUy.lp�ing clauird: . � . • . . �,t � �I, , av-�m Q, I -DO �. �J �e.bLy��R �-rt�Y c�ntrac'- � D�i,/ � Y o��-�3-/�-�a��OQD.Q��-Gb?� � .��i''.dV2 d IY�^.°_F1C1� 151� i. �1 �"itle '��c3:l�d eL ^roc��rty �scria�or.'iti , ` ty '1'v.:i�:lii � 4 �' � 'i`�a.'�P.C� D15`1C� �L'l�'� TCR+ �. RbivTLS7Lp�: ?e.:-cei ilui�lr>' or 1 al s¢iplion rn�n on tax slatamst: � ��-. l�J��%y��G-y�b .3��; __ D"_i13:� 01 CJi?'?�dCL:. Q.v:?_j :]3lit,-^ �T2°_ S17TID12 Q�T71� . � �CO.^.iract i'�^o_TC� irl P_°C7YC?°r's OiSiCe - P°COLd Pb. Pag° . I� �;�y �or-�on o� �e residen�ial structure or the land, not e��e<xling one (1) acre t}iat ir,tc�ciia�eiy s�*ro�rr3s t1�.at structure is used to pmciuce iu�ca�w_, clescritr_ tlie use aicl rortioi� of i1?° DT'OC-?tY ti`�?.�1ZEC1 iA PiT,�.�itiCe lILOIT"L� Pn,�� o_i!°= �w:_ies ir wn� Ch :ndivi.dual an�ns or is bu��ing real prop°�ty: T�,_s�• c�..r; i'ry t.he ab��� stat�mnt is true, mrre�t ard ar/�r,?lete. %� . . ., :' � . /I /l � � _ .. � r � YV., , . � .n s � - �1171t}' . `177:.i15�llD J 0 � e!! s� - �7 �o � Cit�, State a1x1 Zip Ccu.; -=*inciividi�.ai e=�}ni�u�ms�oryis.�ufiiig uner a cnntract that provids he is tn pay th_ ' p��1�y ,`_a.�^s�ion t�,e iresideiice, or has a i�en�Picial intesest in tii� tar.�uyer• �S �+'-��-yy�1�v Nov 2 � 7�s)t, - FOR ASSESSOR�S USE OP;LY - �',:��..8' Yi� �a.�. !r�l'L ^Oi. 2:'.C°2�.1I1� 1 �On�j��aC��E' ]3i�rec11ate1Y SL••:_*DlL'":�"75 _°_S1G°I7['1d1 ir�?rD�c`lY'51�5 Q`.nnr j�nr] . . 1'0�::1 �,�v-!d t��? S'_C! °". =131 Ii iPTO'v'E� f'L'*liS j7.v°_111S1Q Garaae Tota1 O�}i_ I1r��+en�z�s �1� I2) (3) �4� (5) (6) (7) True Cas}1 Itss°ss�l ikair-_s11�:_: Val� Valuation valuati^: •j1.-• ' ?:i�iUVEiL�S ' '-+�_n° (G) plus (7) .e�u:1s (a) (8) _ 1��ji.C.°�`�`�'_iV un° d�Kiro is }�tio� COLT2�� cS'.fa cr.atmlet°_. �1-i?; �l'y'."° Or ?SS°_SSCL � � i �i ��,`.� ' ���/� �! L_('.; 1/����l�«:�:.::� i�� � i /� �� ii �., ; ��� �/'�' �// ����/ �. � � '�'��/ � % ' ;�` LF1i_ � � i �, � ��� i %// i;; - i�CT101! FY AUDITnR - I� �� _ ��i%t/h--� � � �zt�: �� � � _ ._