Homestead_Binhack at MMFFOR HOMESTEAD PROPERTY TAX
,jJANDARD/SUPPLEMENTAL DEDUCTION
FORM YEAR
to Form
ed by the(Rep Department -IM1rrre t F HC10
Prescribed by the(lepartment of Lad Gwe finance
tT1ONS:See rse side for rig 1 strucUon
- - - CERTIFICATION STATEMENT
1♦ I ` 11
,' I(We) / I -in� r r nv4(fithw�IWe)occupied as my(our)principal
.,,:•'.
place o residence or am(are)buying the following described real property for which a Homestead MPropperty_Property Tax Standard Deduction is hereby claimed
under contract on the date this application is filed, (date of filing): C.rJ,IV\
r
❑ I(We)own ❑ Am(are)buying under recorded contract
❑ Am (are)entitled to occupy as a tenant-stockholder of a cooperative housing Mrpor48S0N COUNTY AUDITOR
❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified personal residence trust
• •
If buying on contract,Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
PROPERTY DESCRIPTION
County Township Taxing district(city,town,township)
n. _ s /yea
a .as i � �O "I" '� Is the property in question:
❑Real property' ❑ Annually assessed noble Mime(IC 6-1.1-7)
If any portion of the residential structure or the land not exceeding one(1)arse that immediately surrounds that structure is used to produce income,desate the use and portion
(.....1 of the property utilized to produce income,
kill - ! '
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township County j I Township
•
I hereby certify the above statements are true,correct and complete.
Ad -ss(nu. .. ,sires;dry,state,and ZIP code) r
�7 c1 . *v S 'units i . -
ASSESSOR USE ONLY TRUE TAX VALUE I ASSESSED VALUE HOMESTEAD NON-RESIDENTIAL
I AT 100%OFTTV VALUE I _ VALUE
Land not exceeding 1(one)acre Immediately .,-ate -
surroundin• residential im•rovements. (1) " 'tt°3"v%1skt� �
Other land (2) rsr
h'-
Total land(line 1 plus line 2) (3)
Residential Improvements or Annually - 4 >i s Xr2'.p y's '.4
Assessed Mobile/Manufactured Home • -
Garage (5) s-yy-L Sri.- 'iti` z t-.••rfA t:
Other improvements . v
(6) 11 + ce,}
Total Improvements(line 4 through line 6) (7) --
Total value (line?plus line 7) (8)
hereby certify the above is true,correct, Signature of Assessor Date signed(month,day,year)
and complete.
Verifying action-Signature of Nuditor
Date signed(month,day,year)
(__) - STANDARD DEDUCTION ALLOWANCE -
20_pay 20 Lesser of 60%of the assessed value of the homestead or$45,000
Notwithstanding any other provision,the sum of the deductions provided in IC 6-1.1-12 to a mobile home that Is - $
not assessed as coal property or to a manufactured home that is not assessed as real properly may not exceed