Homestead_Toy _4-.7_� CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
g 5473't, STANDARD I SUPPLEMENTAL DEDUCTION FORM
-= Prescribed by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions. 13 p 1 1 `1
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r-�..n: ; rs"t.';ga`tr�Y°� �a�YS�,Sa rYr.<-.'�,r_i�'i�?.���iR�.f�VC�ERTIF,.ATIONSTATEMENT Su'.-�-4r�if3-j"i3 .)I .dt`yt+sr.�va� .�'3.:^✓7'�a �3'.w.
1(We) IRS '. !!flint.' ,TWAT nee: 'a.. certify i' at ( -)i'.;; p;_ .. IF: )principal ^
place of residen.T. am(are)buying the following described real property fA which a Homestead Property Tax Standard Deduction is hereby claimed
VP'der contract on the date this application is filed, (date of filing). I(We): AUG 3 2012
Own ❑ Am(are)buying under recorded contract
El Am(are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation C' .
❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified personal residen .
p Am(are)the shareholder, partner or member of the entity that owns the property. ' GIBSON COUNTY AUDITOR •
'
If buying on contract,Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
3.4-g .. '+'.?,kirgy '"'- f; ;..AZV;t ei---:i._'-< l'itAOPERTYDESCRIP-TION . - xtitte::01;ur,.5"&: uVA4_1z...:CCt ZUM'*... .t^f-
County nl¢a 1 ' / 'Township Taxing district(city;town,township)
AI—u oacooa `LS✓IIOaf Its 0 par pr in question:
Real property ❑ Annually assessed rrob6e horns(IC 6-1.1-7)
If any portion of the residential structure or the land not exceeding one(1)acre that immediately surrounds that structure is used to produce income,describe the use and portion
of the property utilized to produce Income.
III
, :,,.. „,,,.•z.,,:. ,A,,,.. T„t:.PROPERTY.OWNED.BY. AIMANTIN,OTH Rf 0 NTI te.ithL' j'!.8• c� .._ .'L.,__�.. >., 1 .
.�nty Township •--- ' County ... Township
I hereby certify the above statements are true,correct and complete. Signature of daimon
Address umber and street,city:state,and ZIP code) --
/ex,, 2 S. o..A Ern • c. Es-Mk _ S...> • 76
1v._= `i ''' ' •Z { 'sc ”` O37 r'ASSESSED VALUE'll y'HOMESTEAD Apt:44 N RESIDENTIAL .'At ',a
4c_�_ x_ASESORI15E ONLY . �.L t'TRU #VALUE �_ATt100/o OF.TTVg:Ifiria•.VALUEiil li ar.^Y+ -=iVAL'UE XWIT i°,n-
Land not exceeding 1(one)acre Immediately r y;.3 + '+' s > ` ' . y .?
surrounding residential Improvements. (1) :1e xrK .. a ^ >4Y
Other land (2) -.....c-52::: .».iir-,;
-
Total land(line 1 plus line 1) (3)
Residential improvements or Annually Dwelling (4) 1:4Xr z1-.4q. .n1°y ;,
Assessed Mobile/Manufactured Home Garage (5) itt.s'at�ti TSF( G`
Other Improvements 1c (6) i:'" r
' .� $F •
Total improvements(line 4 through line 6) (7)
. Total value (line 3 puns line 7) (8)
I hereby certify the above is true,correct, Signature of Assessor Date signed(month,day,year)
and complete.
Veifyug action-Signature of Auditor Date signed(month,day,year)
}. a 141 `LE4s t »rat`_'_':..-_y s:VSkiaYT STANDARD DEDUCTION;ALLOWANCE;. .yd„tr3*14 ? IA4Ef i niCi.:4, 5k∎AWa 5 :T='i.-
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 real property or to a manufactured home that is not assessed as real property may not exceed
one-hall(12)of the assessed value of the mobile home or manufactured home.
Signature of Auditor - Date signed(month,day,year)