Homestead_Meeks (2) CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
!'�2, FORM
¢�1 STANDARD /3SU-PPLEMENTAL DEDUCTION HCto
ISrb." Prescribed by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions.
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place esidence or am(are)buying the foil.• ' described real property f.� which a Tax Standard Deduction is he�undde contract on the date this application is fil- (date JV DC i own ❑ Am(are)buying under recorded contract ,�/_ /���. N 4
(❑`Am(are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation ' x
❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified personal Al rt.;; r'rt V'711)'��
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❑ Am (are)the shareholder, partner or member of the entity that owns the property. UNTy A
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�.�� -.,s5.>_�',�.°':'�•,st�'P„-.c� -"firiaW; '+rt+r�CONTRAC�RECORDEDff,A`° ieltt°3. „wyrss,`td,asEa x21:2c:�f=
If buying on contract,Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
.rr- • . , a x. ""`'n' rc WaS.,rte � $ PR OPERTtyDESCRIPTION i irart.3c2.`.i .11: t tau iPbeitail a
Ccu Township Taxing•£. (city own, ip
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Parcel number Legal descrip on /
t Is the property in question: An mobile home(IC 61.1-7)
IXI Real property ❑
If any portion of the residential structure or the land not exceeding one(1)we that immediately sumou ds that structure is used to produce income,describe the use and portion
of the property utilized to produce Income.
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�s,��"f�z ;����"� "u��,�,,,saw, ,.,�i�'PROPERTiYtOWNEDI6JCL•AIMA�TiiN Of�THERiCOUNTIES'._.yg�'�x.t't�q' i�3'�7-_-5<� . ,_�,s ;;mb:
County Township County Township
I hereby certify the above statements are true,correct and complete. Signature of nt /
Address(number and street,ofy,state,and ZIP code)
Baas E 300 q j d A /.v /Y 7-“,0
rt sts, r S Sa a- a -b- i i E TIt fASSESSED VALl1E r H OMESTE ADsA'UI y NON RESIDETIC't
zii n i AvSOR.,USE: Or : 5 uixpiatuE: ATA700 ln OFTVaf( VAL'UE r . zt.VALUE S1 s4t.
Land not exceeding 1(one)acre immediately ;-Sc - %:'-,...:%`..-.77.2.- •-:a-,-
surrounding residential improvements. (1) -- '-.r`
Other land (2) _-
Total land(line 1 plus line 2) (3)
Residential improvements or Annually Dwelling (4) z_ .' ra �'; ., it.-)
Assessed Mobile/Manufactured Home Garage (5) - .r ' .4:,=t,--C,-i4- :4.•_ =,.::::_i;
other improvements (6) _ .,< ._'..f-:'
Total improvements(line 4 through line 6) (7)
Total value (line 3 pits line 7) (8)
I hereby certify the above Is true,correct,
Signature of Assessor Data signed(month,day,year)
and complete.
Verifying action-Signature of Auditor Date signed(month,day,year)
`ae"t"frq? -litt V, ai%t•'-"`� ,u�'�"4y` "' STANDARD DEDUCTION AL O ANCE air £e i=` T' "DTI:-`T•" a"'r q
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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 $
I .
not assessed as real property or toe manufactured home that is not assessed as real property may not exceed
one-hall(1,2)of the assessed value of the mobile home or manufactured home.
Signature of Auditor _ Date signed(month,day,year)