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HomeMy WebLinkAboutHomestead_Brownell CLAIM FOR HOMESTEAD PROPERTY TAX YEAR a_ yt STANDARD/SUPPLEMENTAL DEDUCTION FORM Sate Form 503(R15/5-t4) HC10 Prescribed by the Depanment of Local Gcvemmem Finance INSTRUCTIONS:See reverse side for(ding instructions. NOTE:Telephone,Social Severity,drivers license,state identification and federal idenafiration numbers are confidential under {6- .1-I'- I 1 L ' 'CERTIFICATION STATEMENT ' - -- - '17--.1-.7'"'- - '_1 - ',1 I(We) / , , ./1 iER 'L- c' i -rtify that I(we)occupied as my Its 'p 1-.,I ' place of resi.ence or am(are)buying the following described real property under contract for which a Homestead Property Tax Standard Deduction is hereby claimed on the date this application is signed, (date ofsigna©©EE I 4.y::2014 ❑ Own. ❑ fun(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 pers ❑ Am (are)the shareholder, partner, or member of the entity that owns the property. GIBSON COUNTY TOR It buying on mnbad,Fee Simple tenets name Recorders otce where cGn'sf2 is rantded Record number 1 Page '--- 4;, -_-_ _ i.,-. <.,c: . — .PROPERTY DESCRIP,TIONT 5" � :z''�-''rr 40ceilIZI County Townsnp ✓ 1 I Taxing district(Ply,town,tpwnsh ) Parcel number legal desoiptiw „ es3 st 5'a? Is the property in question: �� ' w i, CIv 5/,_/ I❑Real Popery ❑Annually assessed motile home(IC 6t.r-]) It any pot of the residential t•.nxyre ti the land exceeding one(1)acre than immediately surrounds U2 rAxture is used to produce income,describe the use and portion of the prapery Wired to produce uxame. ac— A.3 -leo- 6200 -0001 . 54/62-0 xCE . PROPERTY OWNED ELSEWHERE BY CLAIMANT I s�,cagey,and Township Is claimant vacating a homestead? ❑ Yes ❑ No I:.p gore of claimant ' / I hereby certify the above statements are true,correct,and complete. r •Address of mn'act(number and street.Pry,state.and LP code) I L V j J �,- 1' - of vacated homestead,d any(number and street.ay.9efe,and ZIP code) K 127 LAnco .- -2/ S G , . . ASSESSOR USE ONLY I ASSESSED VALUE I HOMESTEAD VALUE I NON yESISIDENTIAL Land not exceeding one(1)acre immediately (1) surrounding residential improvements ' Other land (2) Total land(line 1 plus line 2) I(3) Residential improvements or Dwelling I(a) Annually Assessed Mobile I Manufactured Home Garage I(5) Other improvements 1(6) ITotal improvements(line 4 through line 6) I(1) Total value (line 3 p/is line 7) (8) I hereby certify the above is true,correct. Signature of Assessor Date signed(nn-,f6,day,year) and complete. Verifying action-Signature otNd:tit Date signed(month,day.year) t. __ . a -__ a '�' . STANDARD.DEOUCTIONALLOWANCE rE2 _ "� rf.P K .V.:‘,11.;.-irrA ,; 20 pay 20 Lesser of 60%of the assessed value of the homestead or$45,000 t Notwithstanding any other provision,the sum of the deductions provided in IC 6-1.1-12 toe mobile home' S DEC 17 2014 that is not assessed as real property or to a manufactured home that is not assessed as real property may not exceed one-halt(1/2)of the assessed value of the mobile home or manufactured home. Signature of Audrtw f Date signed(n•'n'th .y.year) • _i ,.1'n._�ci/ fir DISTRIBUTION:Ong at-Cagey Audta,FieSamped Cepy-Taxpayer GIBSON COUNTY AUDITOR