Homestead_Brakebill ACFrOgDt7Xf-yN3AKNL3Uf nZL5SpfZEHDMeTUQFsZZR... https://doc-08-ao-apps-viewer.googleusercontent.com/viewertsec.,.
`' CLAIM FOR HOMESTEAD PROPERTY TAX
' ; STANDARD!SUPPLEMENTAL DEDUCTION FORM YEAR
r 2
�, rr Mete Faint Sa73IRta Mee) HCTO 024
Prescribed by the Deponent of Local Gawmment Finance
INSTRUCTIONS'See reverse side for fling instrucgons.
NOTE:Telephone,Social Security,driver's tense,state identificaton and federal identification numbers are confidential under IC 6-1,1-12-37.
CERTIFICATION STATEMENT
I(gig) J.W.Gramme,Jr&Mary Frances emkobel candy that l(we)occupied as my(our)principal place al
ret'dance or am(are)buying the foTewing described rail property under contrett torwhtti a Homestead Properly Tao Standard Deduction Is hereby claimed an the
date Ws eppicetlon is signed 'tchli h !tat .I(Wel:
hewn AM re)buying under recorue corked
❑ont(ore)entitled la Occupy as a tertmn-stockbdder of a coepemtve housing caTperatidn
a Have a benoldal(merest in the trust or rho right la occupy Me prcpaty under the terns al a quaified personal residers trust
❑Am(am)the shareholder,partner,or member of the entity that wino the prcpnsty.
CONTRACT R£CORbED
if Buying on Centred,Fee S mple Owner.Name re At a a1 A 41
N/A J� J
Recorder's Office Where Contract ani Is Retetl Record Number Pape t l O IM 44),
PROPERTY DESCRIPTION ' AS51
Canary To rstrip Tung District(cry,fool,.roanah.p) e
Gibson Columbia Oakland City,Oakland City,Columbia
Parrot Number Legal Oesapben is the prop.y in question:
26-13-23.400-000,163-006 PT E SE 23-2-9 1 AC j-y�1,Real Property ❑Ammer Assessed Marie Horn OC8-ii•ty
it any porton of the residential tantalum of the rend not exceeding one(i)acre the krotediata:y surrounds that structure 1311,0 to produce income,describe do use and portion
Milo pmpeny added to produce income
. i .
PROPERTY OWNED-ELSEWHERE BY CLAIMANT
i
Stale,County,and Township is Claimant Vacating a Hem9etead7
❑Yee El Ns� ! , or a
I hereby certify the above statementsWearned,
.4.'',,,ej.
are e, and complete, t. ; ) ,r..
ra aF1 A
Address of Contact(number and arrest coy,state.end ZIP coda) ss es Vacated Homaslead,if any(non• 'end street city,stet. .• Pride) if.,/ ?
10470 E 250 S,Oakland City,IN 47660 0 . C0,7
ASSESSOR USE ONLY I ASSESSED VALUE ( HOMESTEAD VALUE I NON-RESIDEIdT'AL V;i_UE [
Land Not Exceeding One(l)Acm Immediately t r e r�'";i -
Surtoundinp Residential Improvement (} '�
Other Land (2) ��.4. .
Total Land pine 1 plus/lne 2) (3) C?'1;:),..o
�G
. D`��� t
Rosidenlial Improvements or Dwelling (4)
Annually Assessed Mablle/ .
Manufactured Home Garage (5)
Other Improvements (6)
Total Improvements(tine 4 through line 6) (7)
Total Value(Line 3 plus Line 7) (6)
5trnan+ro of Assessor Date Signed(date,month,year)
I hereby codify the above Is we,correct,and complete.
Venting Arson-Signature el Au1Nr Osle Signed Idols,month,year)
.STANDARD DEDUCTION ALLOWANCE
20 Pay 20 Lesser of 60%of mo manned value MO*homestead or 548,000
NOPvdhstandirp arty elherprovision,the sum elthndeduIXgns prowEdd81IC 64,742 to a motile node that $
is nor assessed as real properly rote a manufactured fame that is not aasessedas ma!prap_otymay nor
eaceed era-ran(t12 or Me assessed value opera mobile home ormanufacee edborne
S U7T ds _ (1
p ar tiD Dere Sed d p o day, art
DISTRtB ON:Onpnet-County Author,Fte•Stemped Copy-Taxpayer
Pena l or ,
1 of 7. 9tR007it 7.74 PM
7j
G
')
•