HomeMy WebLinkAboutHomestead_Earl •
FILED
�"t• CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
• -1 STANDARD /SUPPLEMENTAL DEDUCTION
ir'_„ � • MAR 2'2.21-2013 3 HC70 •
t State Form
Ste'-•J Prescribed by the Department of Local Government Finance ���l0/ c
INSTRUCTIONS:See reverse side for filing instructions. GIBBON COUNTY 1 I • ? dia – 02 _70 .30�
• CERTIFICATION STATEMENT
I(We) tat Til_art' certify that I(we)occupied as my(our)principal
place of residen - or am(are)buying the following descib-• real property for which a Homestead Property Tax Standard Deduction is hereby claimed
under contract on the date this application is filed, (date of filing): ' -
❑ I(We)own p Am(are)buying under recorded contract
❑ Am (are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation
❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified personal residence trust
CLAIMANT'S INFORMATION
Name of claimant(legal name)
Name of claimant's spouse(legal name) ,
Social Security number of claimant's spouse(last five digits) Drivers license/Identification/Other number State
of claimant's spouse(last five digits) .
CONTRACT RECORDED
If buying on contract,Fee Simple owners name
Recorders office where contract is recorded Record number Page
PROPERTY DESCRIPTION 1��y�,,
County Township Taxing district( /'vn,township)
Parcel number Legal description I Is ttrrgrnnl�epp//mioppertrty iiin quees-tion(n:r(//f
Real property ❑ Annually assessed mobile Dome(IC 6-1.1-7)
it any portion of the residential structure or the land not exceeding one(1)acre that Immediately surrounds at structure is used to produce Income,describe the use and portion
of the property utilized to produce income.
• CR. 6 3$ — / 7 - /Q- 0 7 6/- a79 ° R
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township County I Township
Sigpaaye imam •
I hereby certify the above statements are true,correct and complete. �y Ed r7
Address(number ets stet,city, t.and LP LI)10 �
,c S \ A
ASSESSOR USE ONLY I TRUE TAX VALUE I AASEIESZ.D01.ALUE
TTV I HOVALUEAD I NON-RESIDENTIAL
Land not exceeding 1(one)acre Immediately -witvv,.pri' t°'wrmf1v .
surrounding residential improvements. (1) • S:w.t•+c .: - #a =.
�` -
Total land(line 1 plus line 2) - (3)
Residential Improvements or Annually Dwelling (4) ."y'' ; x c ieln.s e.
Assessed Mobile I Manufactured Home -� 7
- + F`.4° #� - r Gare g a (5) S .^4 time .: -nl
Other Improvements (6) d . -' 5
Total Improvements(line 4 through line 6) (1)
Total value (fine 3 pits line 7) (S) .
hereby certify the above is true,correct, Signature of Assessor Date signed(month,day,year)
I and complete.
Yelling action-Signature of auditor 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 reel property or to a manufactured home that is not assessed as real property may not exceed IV \
one-half(i2)of the assessed value of the mobile home or manufactured home.
Signature of auditor .Date signed(month,day,year)