HomeMy WebLinkAboutHomestead_Watson (3) ,{a. CLAIM FOR HOMESTEAD PROPERTY TAX FORM
YEAR
�,, \;>` STANDARD i SUPPLEMENTAL DEDUCTION ^ 1�
`Ass: secs amsar�(Rn,1-1� HC7O Lo
Presobet by ye Department of Last Government Essence
INSTRUCTIONS:See reverse side tor Eng rosaucbars
NOTE Telephone,Social Seat%dtveh dcerne,stale idNudrkan and federal l n n numbers are tonfidenfal under IC 6-1.1-12-37.
CERTIFICATION STATEMENT
1 �� 4 ' ' I .• that I we occupied as ow( ) �A�G / + 1 N certify ( ) P� my(our)principal
place of residence or am(are)buying the following described real property under contract for which a Homestead Property Tax Standard
gIs hereby claimed i the date this application is signed, (date of signature). I(We):
Oven, 0 Am(are)buying under recorded contract
contra
are)entitled to croupy as a tenant-stockholder of a cooperative housing corporation.
❑ Have a beneficial interest in the trust a the right to occupy the property under the terms of a qualified personal residence trust
❑ Am(are)the shareholder, partner,or member of the entity that owns the property.
)/f�(�
Remeers odco where cot is recorded JJ4zk4v.V'. I•...ranter Paw
GIBSON COUNT AUDITOR
PROPERTY DESCRIPTION..,,. „,.-
forrity O. 1 T I 1 Taxing their Cory,lawn lrrsrvLryn)
ts
Peal a(`sm6�J/lLc\y/t_T`V ` /` / ( Krone et
Onshore
Real papery ❑Atsamay messed mead,tame(IC 5.1.1-7)
If any portico d tereddaCal structure or Ns land not eeming ore(1)axe that Enneaa y et,nne is used to produce income,desolae tie use end po4on
S tee prcpeity tamed to Poem Warne
a6 - \t-3n —3cc - 000 .A60_ I- 0y+
•
-- - = PROPERTY OWNED ELSEWHERE BY CCAI67ANY.- ,
Stabs,Casty,and Toenstr® Is clamant vacating a homestead?
` ❑ Yes ❑ No
•
I hereby certify the above stag are true,arrest and complete.
),�� —
� /
Address re cam(miter end sheet atz ar,,and ZiPcorf) Addris. mated hamees ed,deny @nthe and-•--,ay,steer ZIP-••.
35 1 Sk-k._ I , 1, c .yi ,
: `
-NON-RESIDENTIAL
' ^ASSESSOR USE ONLY - : .;I - ASSESS D VALUE,-•;,, -HOLlESTEAD VALUE�- ^'1
Land not
exceeding i hurled/stew
.a- ' =.z
surrounding residential improvements (1) , si :. -4 Other land (2) Y { _
Total land(One 1 plus One 2) (3)
4x - -As-.
Residential improvements or Dwelling (4) ':c^ - _Z -.`va^_'-•=' :,
annually assessed mobile/
a.rtan..ted home Gnaw (5) .._. � ,.>, '.,Y.-
Other hnprovements (6) T L ;'-.).:_:a` - -Total Improvements tide 4 through line 6) (7)
Total value(line 3 plea 6m 7) (B)
I hereby certify the above is true,correct, SignaturedAssma Dare Wad(lurk Mx mini
and complete.
Veayilg croon-Sig a=of Auditor Dam signed(math dry,yea)
20 pay 20 Lesser of 6096 of the assessed va)ue of the homestead or S45,000.
Notw(tstanSuy any otlerproNson,the sum of the dectxtiOns provided in IC 6-1.1-12 to a mobile home S •
that is net assessed as mallroperty ale a manufactured home that is not assessed as real pmpedy may
not exceed ore-had(1/2)of the assessed vote of the mobile home or maradacaued
Wain of AudS--lei
DISTRIBUTION:Odgi a l-Carty Airier,Fic3mrped Copy-Itt aver
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