HomeMy WebLinkAboutHomestead_WethingtonCLAIM FOR HOMESTEAD PROPERTY TAX oRM reaR
__ STANDARD/SUPPLEMENTALDEDUCTION �
� State Form %73 (R73 / 12-09)
� Presctibed by tha Departrnent af Local Gwertunent Finafre
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INSTRUCTlONS: See ieverse sitle for fi6rg /nsfiidmns.
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I(We) — certiy that I(we}�xcLpfadgs.�n,y�ourl prindpal
place of residence or am (are) buying ihe fdlo desuibed real property fw which a Homestead Property Tax Standard Deductioi� I�s�by daimed
�er contraIX on ihe date this appliption is filed, (date o(filing). I(We): GIBSON COUNTY qUDITOR
Oxm ❑ Am (are) buying under 2corded conVect
Am (are) entilled to occupy es a tenant-stockholder of a mopereGve housing corporatlon
❑ Have a benefidal interest in Me trust or ihe right to ocwpy the property under Uie tertns of e qualified personal residence trust .
❑ Am (are) the shareholder, paMer or member of ihe entlty that owns ihe property.
•• • e
Name of daimant (legal neme)
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$ooal Semiry rpunb¢rW da4riant (6st fi�o d'gds) Drivefs Gcense I ItlentlficeUon / Other numher Issuing State
o( daimant (lasl frve d+gifs)
Name o/ tla'unan�'s spouse (le9a/ neme) �
Social Sewriry number of da'vrianCS spouse (lasf !rve diglls) Orivers license / Idmtifiration I ONer numbar Issulrg State
ot daMant's spousa (lastlrve dig'RS)
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If buying on mMtact, Fee Simple ownefs name
Recorders ofice where conUaa is �ecorded Remrd numb� Pege
.. �' ' � ' •
�n�y Township Taar� d' '(dty, fown, rownship)
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Counry Township Caunry . To�msNp.
I hereby certify ihe above statemenis are We, cortect and complete. Sig f aa"unanl -
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Atltlress (number� O IL c4y stete, aM ZIP � � � ��� �
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Land not exceeding 1 (orre) acre Immedlately �� �,},� ,� �`s�: ��„ar>i �,; :: �
surtoundin resldentlallm rovements. (�) �"':'• °` '�"�� "; .�" .�''�•
i _-s;y,t.F^�>?:,'�
Other land (2) ��.-_, .3;;,.3', ��`�.',-;_
Total land (line 1 plua prre 2) (3)
.�.� c a fi t.:. ,y�y y:a�"i
ResideMialimP�`2mentsorAnnualy �IIinB (4) ^�,1?� —°�����,�cYr�rr.fy�.�'r.
e � Mobila / Manufactured Home G�9e is) 'F`�'�� ����' i-,�o-'-��k' �� o-:c^:9�t
�: �:� �`.�'sv+'—ti;�i:
Other improvemenb (C) ;.�i„ .r;�}. '?-2?.`•s:;:
Total improwmeMS (lirre 1 through line � (7)
Tofal velue (line 3 pl's Ilrre 7) (8)
1 hereby eeRify the above is We, corract, �9^a�re of Assessor Date signea (month, dey. yeaA
and wmplete.
Vei�Ym9 eWon - Sgnature ofludita Date signed (rronth, daY, l'��)
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20 _ pay 20 _ Lesser of 60% of the esussed ralue oi the homestead or Si5,000
NdxiUistanding any ofAerprovision, Ne sumW Na deductionsWOVided in IC 61.7-f 2 ro e rrqbBe Mme Mef is $
not assessed es real property a to e menWauured fartie Net is not essassed as reel proparty mey rwt exceed
me-hall (f2) o/Ne essassed vehre ol the mo6de Iwrtre armenWectured honn.
Signa¢ue oflwAilor Date signW (month, deY. YearJ
CLAIM FOR HOMESTEAO PROPERTY TAX
_ STANDARD/SUPPLEMENTALDEDUCTION
Sz:a Fam 5C73 (R73 / 12-09)
� P�azm'bad b) Na DepartrrreN d L.ocal Govertvnent Fina�a
fNSTRUC7TONS: Sae reverse sde lo�fiLng insfrucbons C� ____
iT ; ;
� (We) - ' ��rtiy chat � (we}ccca»
plac� of resldence or am (are) buyirg the fdb desaibed real property fw which a Homestead Property Tax Stendard Ded�
�etcontraaoniheda:elhisappliption'sfiled, (dateoffJmg�. I(We): GIBSONCOUNTY
Ovm ❑!vn (are) buying under remrded conirect
Am (are) entilled to otcupy es a lenent-stotkholder of a cooperafive housirg corporatlon
❑ Have a beneficial interest in t�e wst or the right to ocwpy Ne property under the tertns ol e quafified personal residence trust
❑ Am (are) Ne shareholder, partner or member o( ihe entlry that owns the proparty.
Soval Sena�'r.mioa d da'rtvm (�sr �ie dgis)
�_
m� a�) omers ece�a � iedwamcon i amm �u�nca,
ot tlaFinanrs spane (fau five eiRtsl
Township
I hereby certify ihe ebove stalemenls ara we, comect and complete.
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Land noi ezceedl� t
QtherlaM
TotallanC (Ilree 1 pfu! fGre 2)
onmealatey
ResldsfrtiallmprovemenborMnuaOy aMOUtng
Assessed IeobOe 1 Nanufacwrtd Hortm Garege
Ofhor 6nprowmenti
Totel impmwmcrtls (11na 1 NrougA Gna Q)
TWaI velue (Gna ] plu ILro 7)
I hereby uRiy the ebove ie wa, cortact,
and complete.
VeiAR9 actlon' Siga�ue dl�ud'itar
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(4)
(5)
(6)
(8)
Signa]ae o1 Asssw
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that strurlwe Ls used ro
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