Homestead_Williams (43) CLAIM FOR HOMESTEAD PROPERTY TAX YEAR I
a_-_ \_, STANDARD/SUPPLEMENTAL DEDUCTION
pf ( 'i Stas ions Sa73(Rt51 St4) �.1 NSW :`1•
• . Prescnbed by the Depar4nenl of Loral Government Fcance
INSTRUCTIONS:See reverse side for filing instructions
NOTE:Telephone,Social Security,driver's license,state identification and federal identification numbers are confidential under IC 6-1 7.
I(We) certify that I(we)occupied a my(our)princi.-
place of residence or am(are)buying the foil 'rig described real props nder contract for which a Homestead Pr.. T, 'r---.:I/: . _
Deduction is hereby claimed on the date this application is signed, (date of sign 't'` 'gtI!m1Px
GIBSONCOUN YAU.ITOR
Own. ❑ 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.
❑ Am(are)the shareholder, partner, or member of the entity that owns the property.
---" - - _ _
.- __—:
If buying on contact,Fee Simple osiers name
Recorders o5ce where contract is recorded Record number 1 Page
.°L- s .. r-3- ;:::',.-:::17•_.. ir. =PROPERTY DESCRIPTION 35 &-- i•-:, =,:ri-45 -
County Township 1 T 'district(oily,town,lowest)
I
Parcel number Legal desaidiar Is the property in gtsestiory
21.- ,& -ao I•0'3.145- O 'C 'Z I ke Real popery ❑Annual),assessed noble borne(IC 6-1.1-i)
It any paten of Me residential rollaire or the land not exceeding one(1)axe that inunedatey surrounds that st:adure is used to pr duce income,desaibe the use and portion
of Lie popery faded to podire vmme.
PROPERTY OWNED ELSEWHERE BY CLAIMANT
Sate,Carey,and Township Is claimant vacating a homestead?
❑ Yes(, No
'Signature of claimant Y`
I hereby certify the above statements are true,correct,and complete. ',-L� �^�
... of mn;ac(number and street nay,tare,and ZIP code) I dress of vacated hho est ead,d any(number end sheet city,state.and ZIP node)
II
4038<5• i . I - • % r,, '/71.7()
' ASSESSOR USE ONLY ASSESSED VALUE I HOMESTEAD VALUE I NON-RESIDENTIAL
VALUE
Land not exceeding one(1)acre immediately (1)
surrounding residential Improvements
Other land (2)
Total land(line 1 plus line 2) (3)
Residential improvements or Dwelling (4)
Annually Assessed Mobile I •
Manufactured Home Garage (5) i 1
Other improvements (6) I (+� ?,/
Total Improvements(line 4 through fine 6) (1)
Total value (line 3 plus line 7) (8) DEC.12 2014
I hereby certify the above is true,correct, I Signature of Assessed Date sgred(month day.year)
and complete. I �
vattying action-Signature of Auditor Date signed(rot v r I t
GIBSON COUNT AUDITOR
` mar:e'.7-,-g, ,• `7 . .t--STANDARD DEDUCTION ALLOWANCE r�� .fix,ttliSt'a..:, -- - 1,r"7.�
„
20 pay 20 Lesser of 60%of the assessed value of the homestead or 545,000
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-half(12)of the assessed value of the motile home or manufactured tame.
Signor a of Audeor Ova signed(nvct day.ye
DISTRIBUTION:Original-County Auditor.FieSamped Copy-Taxpayer