HomeMy WebLinkAboutHomestead_SchoenheitCLAIM FOR HOMESTEAD PROPERTY TAX
STANDARD / SUPPLEMENTAL DEDUCTION
f State Farm Sd73 (R13 / 12-09)
t��w � Presmbed by fhe Departrnent ot Loral Gwemment Fuwrxe
INSTRUCTlONS: See reverse sde /or filirg insWctions.
n .1}- FORM
�'��� HC70
�
��yye� cerGtyUhal f(�re� oEbUtAed as my (our) principal
piace of residence w am (are) 'ng ihe follow'uig described real property for which a Homestead PropeAy Tax Standard Deduction is hereby daimed
�urder ntrad on ihe date Nis application is filed, (date o/filing). I(We): C���n��
❑ Am (are) buying under remrded contrsct AUDITOR
� Am (are) entltled to occupy as a tenant-stockholder of a cooperative housing corporation GIBSON COUNTY
❑ Have a benefidal interest in Ne trust or ihe right to occupy the property under Uie tertns of a qualified personal residence trusl �
❑ Am (are) the shareholder, pariner or member of the entity that owns the property.
�
Searity
If buying on contrdct Fee Simple awnefs rame
Recweers of6ce w�ere m,uaa
Counry
of tlamant (last Rw digiGS)
Dmers Iirensa / Itlentlficetion / Other number
o/ daimanYS spouse (Wst fiva d.gi7sJ
I Ta�dng tlisUid (city, fown, rownshiP)
�
Is the praperly in QueStion:
Issuhg State
Remrd nurtibei
Pape
���d•U�� ��W��VH�7 • �I� � ��{.i�� � U Real poperty U MnuaOY assessed mob0e Inrrie (IC Gt.7-7)
It arry portion ol the residential sWClure w the Ia�M not exceeding ona (7) a�re that 4nmed"ately wrtounds that strwiure is used m produce incoma, Oesaibe 1he use aM pwtim
of the propeity utif¢eC m proM� imm�a. �/�� �� .
.r
Tmvmhio �
I hereby certify the ebova sta[emenLS are We, cortect and complete.
Adtlress mDeraMSG
Land not asceeding 7
surtounding residentl
Othar lan0
acre Immedlatey
�rovemenfs. (�)
�Z)
Toml land (llrm 1 plus Itne 2)
Residentlal
Assessed N
OMer Improvemenb
orMnuafiy �Iling
tuted Home Garage
Total ImprovameMS (lina / fhroug� line �
7om1 value (/ine 3 plls llne 7)
I hereby eerdfy the abave is We, correct,
and wmplete.
Vailying aWon - SigraGire M PLtlibr
(3)
(4)
(5)
(6)
ieI
Signawfe ofl�ssessw
20 _ pay 20 _ Lesser of 60% of the essessed value of the homestead or $45,000�
NoMifhstantling any afhei piovisbn, Ne sum o(Ne deductims piovitled ln IC 67.1-12 ro e lmW7e fwrrre Nat'a $
nof assessed as real pmparty w fo e manulacfured home Nat is not essessed as 2al pmperty mey rot exceetl
«�enen �im arhe esse.ssea �ahx a ure mo6de nortre o.menWaC„red nome.
�`
Tamship
(month. daY• Y��
�Y. Y�A
�nmth, EaY. J
/7�
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