HomeMy WebLinkAboutHomestead_Lizcano ` f.,SAP-. CLAIM FO3 R 8HOMESTEAD PROPERTY TAX YEAR
4 STANDARD/SUPPLEMENTAL DEDUCTION i
FORM 7 �
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1 HG,D
s State ribed y th(D p/1-20)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions.
NOTE:Telephone,Social Security,driver's license,state identification and federal identification numbers are confidential under IC 6-1.1-12-37.
CERTIFICATION STATEMENT
I(We) MtQi1Q.(// L;Z CanO certify that I(we)occupied as my(our)principal
place of residen a 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, V/.PI/io?ei (date of signature). I(We):
0 Own ❑ Am(are)buying under recorded contract.
❑ Am (are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation.
0 Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified personal residence trust.
0 Am (are)the shareholder, partner, or member of the entity that owns the property.
CLAIMANT'S INFORMATION
! ���/
Social Security number of claimant's spouse(last five digits) Applicable onlyr's license/if applicant'sn nspouserdoesn of haveer of 'mant's a social spouse
ecuntylast five number)
Issuing State
CONTRACT RECORDED
If buying on contract.Fee Simple owner's name
Recorder's once where contract is recorded Record number Page Et T
County Township r Taxing distr ct(city town.township) ■L■
G obs°n (fir;v.2ef-co/1 -RR-1 21 ., ,
Parcel number Legal description Is ther prope_.I in question.
�_n_�a_3oa- � ,�- ,�- D a 8 i '�"vo'property ❑ Annually assessed mobile home(IC 6-1.1-7)
If any portion of the residential structure or the land not exceeding one(1)acre that immediately surrounds that structure is used to produce income,describe the u Iwrti n /) //// 7A[I/
of the property utilized to produce income ('N Y r
GIBSON COUNTY AUDITOR
PROPERTY OWNED ELSEWHERE BY CLAIMANT /�
State.County.and Township Is clai - t vacating a omestead?
II / ct
Yes 1WMIArC
Signature of claimant LI•it. ZZ
I hereby certify the above statements are true,correct,and complete. ///j/�f ,,,,, e
Address of contact(number and street,city,state.and ZIP code) Address! vacated home ^i any(number and street,city,state,and ZIP code) u . .
11� 's • OY, \ Pr a fo+-T--LP/ c l7 G,70 Z9 W rh L1n St Q -foss-,-,114 ti0 �'
ASSESSOR USE ONLY I ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL VA OLUE
Land not exceeding one(1)acre immediately (1) '"i:'y'2F:: W
surrounding residential improvements (J`_"_/�{�
• Other land (2) - -_—_ �.a- F 1 . k' i1 (T ka•V"�.
Total land(line 1 plus line 2) (3) tea,
Residential improvements or Dwelling (4)
annually assessed mobile/• -
manufactured home Garage (6) - -- .,`
Other improvements 61
Total Improvements(line 4 through line 6) (7) I
Total value (line 3 plus line 7) (6) (0
Signature of Assessor Date signed(month.day year) N
1 hereby certify the above Is true,correct,
and complete.
--- ------- -- ----- ----- Date signed(month,day.year)
Verifying action-Signature of Auditor
STANDARD DEDUCTION ALLOWANCE
20 pay 20 Lesser of 60%of the assessed value of the homestead or$45,000-
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(1/2)of the assessed value of the mobile home or manufactured home.
Signature of Auditor Date sig d(mon ,da_y,yearl .
/a .1i ;.,td) 1-1 26 rI 2?--
DISTRIBUTION: Original-County Auditor.File-Stamped Copy-Taxpayer
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