|
t~ Cr~~Y~xil~
<br />;
<br />d?~ ~.,
<br />
<br />Orange County Tax
<br />YEAR C~0 3
<br />APPUCAT'ION FOR PROPERTY TAX EXEMPTION
<br />-}ter G i,~' ~~" '~ G I c~ ~ 5
<br />pff , l
<br />II
<br />County r) (-u nq ~ Town or City ~t ~~ I '~x /~
<br />ii
<br />-_---- Paw-RM ,~ ~ ~ _-.
<br />~D ~f l11 Uru ~na w, ,J{-rz r ,SH fz ebb L lati~el 1•l~ 1/ AVC. ,~7Sr~
<br />(3!root or Routol (;own) (Slott,) (Z p Cod 1
<br />' ~c~~'L d'y. G-rht~tiwr Sk+~e~f Lin"1 Nil/~, NL P.l. A~ ~l ~S3 -07 - ~ 33G~ 7. ~j3, L, l
<br />., ,-„
<br />- -
<br />r
<br />; ~ ~ S o. tp-; a. G 5. 1 OS-282.1 every owner of propeny claiming exemption or exclusion from property taxes must demonstrate that the propeny
<br />I ' =..!ory requirements for exemption or classilicalien Claims for exemption or exclusion must 6e filed with the Assessor of the county in
<br />~ L~. '. '' ~ ~`-!,- operty is located. (see reverse side) Claims for exemption should Include all land and improvements and personal propeny situated thereon
<br />l~ n' or;,clele information regarding its use.
<br />t
<br />,,t`:;_'.~!_s;!~ned owner or authorized representative hereby petitions for exemption of the following described property:
<br />3.c, ,
<br />_ .. - ~ comeie:e description of property:
<br />--
<br />~-- Swx 1! (•~ IrOr(~Af6( J}r )- rs ~1't+ p ~S DIa~ a.d fn tom,- <<pu J PrY'?N y'ou`r
<br />~~ NA4ement5:. ~. -
<br />H_~W J.n (ft •Yl.+~J,r , L Ga~( .h ~[ i do nJLl }~ .+Jf` 1 'f tt. D~ ! ~')¢ f~!`, ~f--"I.-P
<br />~-7
<br />'Tire 1'•fY'rG!-.vl wit yL ti ~.,.'st.2+.~~ 0~1-GpYtiir/a•n J.... t~fw;. -f2 -
<br />1._
<br />7 ;; a.n1 erolain the purposes for which the properly is used: r/~
<br />_,_.,. ~)( real +~ a~ C'>r.J ~.ti P (' ,„„1( 6v. ~t12a( v ~ t~+cle'. arJ~~~~, biz ~c"~_
<br />--~
<br />
<br />song;?roperty:-_. --- _
<br />( -~ a-czriz2tion other than the owner uses the property, give the name of the organization, full particulars regarding its use of the
<br />--.,..:'`! 2nd the amount of any income received for such use. ---
<br />a G;. e your estimate or the true value in money of the propertY~
<br />-- . ~~~5_' Ooo _-~
<br />r~,a .., IIJ5 coo ---
<br />Deal ?ro ert ~: t
<br />b. .ipon ? 2; uses or purposes do you base this claim for exemption? Charitable (,,~ ); Religious ( ); Educational ( ):
<br />); Scientific ( ); Oiher
<br />1CG3- IDS',. ~7& tJ(e)
<br />• _, , 2 s~=^;ia s?2~uory authority upon which this property is claimed as exempt:
<br />(Full !esls oja!! exe»q~fion uad classification statutes are available ar the uffce aJ(he rnunty Assessor)
<br />AFFIRMATION
<br />-. s' n,a?es p•escrib=_d by law, I hereby affirm that to the best of my knowledge and belief, the statements and information in This
<br />-: -~- -" ^- : - _ ~=~^., c^rrect, and are made for the purpose of exempting the property herein described from taxation..
<br />.. ... , +
<br />- (~~y~., _ ~," ~ dab ~ ~,~-G/r„t_ U L~G~~fl- _._-.~.
<br />ice-rti zr
<br />Sin~ol dwner or aulhonzed representative
<br />" ~~ """'--' -~. YES ~ NO Title ~ Telephone No
<br />C/-
<br />
|