HomeMy WebLinkAboutHomestead_GatesCLAIM FOR HOMESTEAD PROPERTY TAX
- k CREDIT/STANDARD DEDUCTION
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Prescribed by 1he Department ot Local Govemment F'viance
INSiRUCTIONS: See re �e side /oi fiGng ins6ucfions. ���f_ S
A FORM YEAR
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I(We) � certiiy�fliat on Ihe 1 st day of March, 20_
1(We) oaupied as our prindpal place oi residence the f I wing described real property fa which a Homestead Pr�� erty ��dit is hereby daimed:
❑ i(We) owned ❑ Are buying under contrad � � ����TpR
�Have a benefidal interest in the enti ihat is liable fw tl�e �� �"d7Y
lY property faxes on the property and that owfb�epropert� or rs buying under a contract.
�+ �Y�na o� �«+++�a Fee simpe owners �ame
of5ce where wnUac4 is recortleC
Twrrship
Tmcing
Recartl number I Page
P�Rd y��� �R�O� ���aldescription Ilsiheproperry Real�n� �
'1/. 1
%Y/�/ v property ❑ Mobile Fbme (IC 61.1-n
If any portion of �he residenfial sUUCture w Ihe land na exceedirg one (1) acre Nat immediately wno�mds ihat struclure is used m pmduce Income, descriEe the use and ponbn
oT Ihe pro{�erty uti5zed b pmduce inoome.
Counry
Twrnship
i hereby certify the ebove sfatemenLS are true, correct and wmplete.
Address (rrum6er arid s6ee4 dry. state, end LPCrode)
Land not exceedirg 1(orre) ave immediatety
surtounding residential improvements.
Other land
Tcfal IarM (line 1 plus line 2)
Owelling
Residen6al improvements w Mnuaiy
Assessad Mobile I ManufaWired Home
aca
Garage
Other improvements
TUaI improvements (line 4 through line 6)
Tahai value Qine 3 phs lirre n
I Iiereby certify the above is We, corted, and
canplete.
Verifyinp actirn - Sipna Wra of Audiwr
�pay 20 _
..xrof 12
Homestead Valuaton
a
45,000 for 2007 pay 2008
44.000 for 2008 pay 2009
43,000 for 2009 pay 2070
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SignaWre of Pssessa
42,000 for 2010 pay 2071
41.000 for 2011 pay 2012 $
40,000 payable after 2012
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signed (mmlh. day. Yae�
Date signed (monih, day, yea�
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