HomeMy WebLinkAboutHomestead_Whitler r CLAIM FOR HOMESTEAD PROPERTY TAX
YEAR
STANDARD I SUPPLEMENTAL DEDUCTION FORM
r-: State Form 6N3(R151 S14) C
Prescribed by the Depaanernt of Local Govern nt France
INSTRUCTIONS:See reverse side for firing instructions
NOTE:Telephone,Social Security,dprivees license,state identification and federal identification numbers are con.5tlential under 1C 6-1-1-12-37.
I(We) (�cr d� A YI/ 11- e r a certify that I(we)oosup our princi pal
place of residenle or am(are)buying the following described real property under contract for which a Homestea pe
Deduction is hereby claimed on the date this application is signed, (date of atu I e):
i
Own. ❑ Mn(are)buying under recorded contact
„Own.
(are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation. n(`i q
❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified personM)a3id2c3tr 'C -
❑ Am (are)the shareholder, partner, or member of the entity that owns the property. V
-.> "
it buying an contact,Fee Simple oxnefs name
Recorders otm where contract is recorded Record number I Page
.� flF% ! cuter.` PROPEERTV,DESCRIPTION'SC'4ri_.'f.- 3:E. - e-•k.�.-Z77Mig_'+"
Dourly Townstip Tang dvho(lil),,town township)
Parcel number Legal description n I the property p prso,perty in clues:ide
Si al property ❑Amuaty assessed mobile home(IC 6-1.1-7)
If any portion of the residential structure or the land not exceedtg one(1)acre that'imiedatly , • •-that smdure is used to produce income,describe the use and portico
of the property tared to produce soon.
a6 _ // -/ - X03d3 i3cl-aeC'
' PROPERTY OWNED ELSEWHERE BY CLAIMANT '-
Sate,Casty,and Towrshp Is claimant vacating a homestead?
. - ❑ Yes ❑ No
signature of claim=
I hereby certify the above statements are true,correct,and complete. )/ 3P 1 ' (/�I
Address of comma(number and greet,aty,gate,and ZIP code) Addresf of vacated rtegeSJ.if any(number ,gate,and ZIPcode)
. — V I
_ASSESSOR USE ONLY I ASSESSED VALUE I HOMESTEAD VALUE I' NON- ESIDENTIAL
Land not exceeding one(1)acre Immediately
surrounding residential Improvements (1) I _ _ _ __ .1: ---+--r- - .-
I'_'_ .
Other land (2) � _
Total land(line 1 plus line 2) (3) - - I -
Residential improvements or Dwelling (4)
Annually Assessed Mobile l
Manufactured Home Garage 5 a r _tr-F-4
Other Improvements (6) rr �
Total Improvements(line 4 through line 6) (7) I
Total value (line 3 plus line 7) I(8) I
I hereby certify the above Is true,correct, Signature of Assessor Do's signed(month,day,wan
and complete.
Veit)g action-Sigraare ofAUtror Date signed(north.day,yew)
�'--"' - � STANDARD DEDUCTION ACCOWANCE
� :'r=. te _: _ a'�=�+.�.::s�� Rn-4-aex'°� i+4:.-`��
20 pay 20 Lesser of 60%of the assessed value of the homestead or$45,000
Nobvithstandfrog any other provision,the sum of the deductions provided in IC 6-1.1-12 to a mobile home S
that is not assessed as real properly or to a manufactured home that is not assessed as real pmperry may
not exceed one-haff(12)of the assessed value of the mobile home or manufactured hone.
Dee signed(month,day,year)
)Q ; %•`> U /O -c cc—/6 .
DISTRIBUTION:Original-Garay Author,Fie-amped Copy-Taxpayer