HomeMy WebLinkAboutHomestead_Friedrich CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
' i STANDARD/SUPPLEMENTAL DEDUCTION FORM
V' Sate Conn Sala(R15/5-1c) HC10
• Prescribed by the Department of Local CGovernment Finance
INSTRUCTIONS:See reverse side for Ong instructions.
NOTE:Telephone.Social Security,drivels license,state identification and federal identfation numbers are confidential under IC 6-1.1-12-37.
I(We) a certify that I(we)o y ur)p ci al
place of residence or am(are)buying the following described real property under contract for which a Homeste ro ax d r
Deduction is hereby claimed on the date this application is signed, (date of . natt ). ).
n. ID Am(are)buying under recorded contract. 5' 2015
Am (are) entitled to occupy as a tenant-stockholder of a cooperative housing corporation. MAR 2
❑ 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.
:•
Recorder's o5ce where contract is recorded Record number Page
•ie_ -. : 2. - _ _ s=_:'IPROPERTY DESCRIP70N gri ii- C'4 r* ?wa=— =-Y-'
Casty Tnwrsto
Taxing Cstot imp..to nship)
/IMF
Parcel number Legal description Is the property in gueston:
dsy Real property ❑ Annual,assessed mobile home(IC 6-1-1-7)
L•any portion of the residenatru t
l structure m the land not exceedumg one(1)acre that immediately surrounds that stuaure is used to produce income.desmbe the use and portion
of the Popery Weed to produce income.
a (o— /a—o 6- 3607 -co Q. ge34- Oa.g
PROPERTY OWNED ELSEWHERE BY CLAIMANT
State,County,and Township Is claimant vacating a homestead?
❑ Yes ❑ No
1 Signature of claimant
I hereby certify the above statements are true,correct,and complete. �.r'aAN(T c A Le ck a` r
Address of=act(number end greet.o]'.5a:e,and ZIP code) I Address of vacated homestead. Y mber end greet.rty,gale,and ZI`P�)
olo r 1 Jc
ILand not exceeding one(1)acre immediately I(1)
surrounding residential improvements
Other land I(2)
Total land(line f plus line 2) I(3) I
Residential Improvements or Dwelling (4)
Annually Assessed Mobile I
Manufactured Home Garage (5)
Other improvements (6)
Total improvements(line 4 through line 6) (7)
Total value (line 3 plus line 7) 1(8)
I hereby certify the above is true,correct, I Signature of Assessor Date signed(manic.day.year)
and complete.
Verifying action-Sgnature of Audtor Date signed(month.day.year)
to I I mkt
r ; =:-. /-. 47-1 _ - __ : STANDARD_DEDUCT10N ALLOWANCE- n _mg�•q s yr' _?.. `.L.o-`-mi,
_ - i I I ' 1—.
20 pay 20 Lesser of 60%of the assess ed value of the homestead or$45,000
Nontithstanding 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 MAR 2 5'2015
not exceed one-half(12)of the assessed value of the mobile home or manufactured home.
Sig •nor • Date signed(month,day,year)
if /7 J tali_ . ii I d;. .if/.!rrn I0
`wsTRIetnl N:Original-county itudcor.Ftesampedcopy-Ta.payer GIBSON COUNTY AUDITOR