Homestead_Taylor (20)CLAIM FOR HOMESTEAD PROPERTY TAX FORM v�nR
�: STANDARD I SUPPLEMENTAL DEDUCTION Hcto �
Sta's Form 51]3 (R15 / St<)
� P�ewibM py Ne 4 Nnem of lnml GwemneN Fvm�e
�
INSTRUCTIONS: See revBrSB g0e for fi�u�g instrixfibns. '
� NOTE: Tefephme, Sotlal Securdy, tlmrs Leense, stata idenfi5ca:im and letleral idenu,icalion numhars are con.5tle
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� � I (VJe) • ceftify that I
��place of residence or m(are) bu}nng the foll " described real property under conVact for which ;
� Dedu�ion is hereby aimed on the date Ws apptiq5on is signed,
� ❑ O+m. ❑ Am (are) buying under remrded contracL
❑ Am (are) enULed to occupy as a tenant-stockholder of a coope2tive housinq corpora5on.
❑ Have a benefidal interest in Me Wst or ihe right to ocwpy the pmperty under the terms of a
❑ Am (are) the shareholder, partner, or member of the entity that ovms ffie property.
iw.�aa��,:n��,emai , � i
r
Narx at tlainarS's s, oiee
Satlal5evL5y nurt.xr of <
� 11 py4q on cm.'a2 Fee:
% � / . Imaa::sbUavaV.�V � � �
spouze (la5 frvo 0y3s) I Dmmfs Gcers I Idr�C6m:ion I O'.M
o/ dzmzN's syou�e (lesf f,x 6gLSl
G1.7-12-37.
(date o(signafure). I (VJeJ:
JAN 2 9 2016
Pape
PaemJ nw�her I �c9a� aeamC� I Is Ne property in puesSOn �
❑ Real P�P�RY ❑��N assessN moCie Mme (IC 61.1-�/
d+m wn«i m �'�e msaeny� uumm a ck um nm eimee,y me c�) � mm'n,ec�r.dr �,� w� r�co a:am m am� �:K. eev—iee c�e �se w pr o,
of Cn PoPe+�' �M m RvOUm'uwne.
,��- ���o�-�oo_ �6y.�a9_oa�
I hereby ceCify the above sta[emenfs are We, mrtec� and mmple;e.
� mY}yt(numba�e�CSlme� � 5afa eMZf .-^,y / � .I'V` //'],I
5� �; kA1�F11
:� � .� I Ll/J v
acre
OMer Wntl
ToQI lantl (line 1 plus I/ne Z�
ResiEential improvemanb or Dwemng
Mnwlty Assessetl Mobil¢ I
ManvfacWmd Homa Ganpe
Other impravemenm
Todl improvemen� (//ne d Nrovgh lina 6)
Total value (line7p!`c lln¢ �
I hereEy certify Na abova Is W¢, cortect
and campleN.
v>en,9 ,a«� - s�+re a a,a��.�
Sgraaae of Attessar
l; daunant vam^_'ng a homes.wA7
❑ Yes � No
tlaviuN n
w �
�C .es:atl,Emry(numE a5.aet.�;.tab,uNLPade)
•i_ ._ _i-�. '_' —_'_ ' _ _
"_;,�': ' �.p`
- .:�-'- _- _._ _ " _"
�a:e s6+W (moN/1 EaY. Yee�
Dax vS. E (maCh EaY.YeM
20 _ pay 20 _ Lesser of 60% of ihe assessetl v�ue o1 Ne hwnes:eaC w Sa5,000
AbMifhse�✓rg xny ahe�provision, Ne sum ol Ne tleduUions pmvl0ed in IC 6-f. f-12 fo a mobile hwne S
Nar is rrot assesmd as real pmperry w to a manif.aclured home Nef k rmt esmssed as real propartymay
rrof exceed one-haH(7Q) o! Ne a.aesxd vaNeW Ne mobie home wmenufadured Mme.
ol5iwaurwN: �na �-fain+bnua::o..ReSam�EGovr-raparer