HomeMy WebLinkAboutHomestead_Boylewwa xc io ie�s
PreuriCeO By Sta�e Board a� Tax Commissianers
To & FileE in WD���ate
CLAIM FOR HOMESTEAD PAOPEATY TAX CREUIT FOR YEAR 19 '%9
SEE BACK FOR FILING INSTRUCTIONS
�(We) � certify that on the 1st day of
rvlarch, 19? 4 I, (We) occupied as our principal pl ce of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) B'owned ��� - b ai 9a -�
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in �� County `�n-�."%� Township
Taxing District (City, Town, Township): P�s�ev .i�--�-fl
Parcel Number or legal description shown on tax statement:
_PE.. d � ��y� . lG - a—�/ G�4.
If buying on contract: Owners name
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.
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County
f
Township
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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 -
Q [� True Cash
� � � � � Value
Land not exceeding"1 (o ) acr imme iate y
surrounding residential improvements (�) 5c�o
PlIAY 3'•_ i979
Other Land (2) �Oo
Total Land ��
Residential Improv�s , �`j�L�fc!, �iti Dwelling
AUDITOR Garage
Total
Other Improvements
To'-' Improvements - Line (6) plus (7) equals (8)
I;�.iy certify the above is lrue. correct. and complete.
Signamre
(3) 900
(4) �G :3 �O
(5) �a_�o
�s> �o 0 0
(�) _�- 9 0
(8> �5 9 d
- ACTION BY AUDITOR -
Assessed
Valuation
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Homestead
Valuation
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Approved: /15 • �� �-cJc-F-��J Date: J — .3�' / /