Homestead_Turpin (10) �s'r. CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
`f` � STANDARD/SUPPLEMENTAL DEDUCTION FORM
IS �4' , HC10
�.�•- State Form 5073(R13/12-09)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS:Seem rose side for filing instructi ons. .,1' ,
45'aiyts� rig_iemziy�x�'rt�►6rA CERTIF-;ICcTCN(9Tll E�MEN-T a t Y*+'giy(3u'e' c:r3 s.F' `
I(We) 7/Ateg JS �'l•�� �t-,"1Era certify that I(we)ofpled 2sAny,,(A4�1 principal
place of residence or am(are)buyi g the following described real property for which a H. estead Property Tax Standard D uction I 11eYt4 y claimed
under contract on the date this application is filed, (date of filing). I(We): n,
❑ Own ❑ Am(are)buying under recorded contract `/N/t/`
❑ Am(are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation GIBSON 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
❑ Am(are)the shareholder, partner or member of the entity that owns the property.
• "
� t
�
' a41saq
If buying on contract,Fee Simple owners name
Recorders office where contact is recorded Record number Page
lie - t .:c' .y '-, V -" P.RDA.ERT;Y'DESC 1171ON��s" :+3.*s'w.3-i'�..-g;-'i•Vi.e t°3t saS.:a011m
fin,�A° Township Taxing district(. to ,7. ip)
._ t • •
. 10 L a , �)
�p1a•.-1 number Legal description Is a party In question:
If - /a�.(� -We 3 ,� eat property El Annually assessed mobile home(IC 61.1-7)
f aanyy portion of the residential structure or the land not exceeding one(1)acre that immediately surroun that structure is used to produce income,describe the use and portion
of the property utilized to produce Income.
,e '{+ .$-: p°.� .a.._..-... -,-•-.rte -.--I_..,6 .W- i err YP'v^r rl '3 ii(
� ���^�T�s g�.,�.. ,L��^ ,gwg���..�--� 'PROP„ER,T,Y�OWNEO BYwCLAIMANTaINtOTHERCOUNTIES�I, Y� 4�..�.,s.�,y<�.�„�,.��--. c"--.i.','u;,
County Township County Township
I hereby certify the above statements are true,correct and complete.
Signature of daunant
a/ (number 3 • ou a�state,and ZIP a)
• �J
r r:.:- Tm wwg- ao- ti �j°' ` Mips” (ASSESSED VALUE IujHOMESTEAD p"+'"r?�NON RESIDENTIALiy v,
�:r „,,,,,,qA§ Eric R. USE.ON�Yv r r^ rinoT iyfijAX.VALUE:ih?AT loo ,0F T,T,VLtt +, .VALUE•:'" li~r:4g4-rVAL'UE r3�:e M-V.
Land not exceeding I(one)acre Immediately C '. - -.-
surrounding residential Improvements. (1) T: , s T c . "
Other land (2) ". `
Total land(line 1 plus line 2) (3)
•Residential Improvements or Annually Dweilln9 (4) k t r t x ~�r
Assessed Mobile I Manufactured Home Garage (5) r r s .�' --"t<rt;_
Other improvements (6) . ..••
Total improvements(fine 4 through line 6) (7)
Total value (line 3 pas fine 7) (8)
I hereby certify the above Is true,correct, Signature of Assessor Date signed(month,day.year)
and complete.
Verifying action-Signature of Auditor Date signed(month,day,year)
'arG . s- F+c rr l d"e'" c "'i" tSTANDARD DEDUCTION ALLOW41.c— " 'r '.,,,. ital' S2 + u }�'":, -s '`*iii
*t:�ae�:�Y�ai# .x2ii�'"M�,�i2:ei.s'��r �.. .a_. ..-_.-.. �w.� _._sr: -.� i:�.,,vL'o_�i'h?�tti+�z t�rsra.:.....
20 pay 20 Lesser of 60%of the assessed value of the homestead or$45,000
Notwithstanding any other prevision,the sum of the deductions provided in IC 6-1.1-12 to a mobile home that is $
not assessed a real property or to a manufactured home that is not assessed as real property may not exceed
one-half(12) th assessed value of the home or n tied home.
Signature f Litt Date signed(month,day,year)
fr