HomeMy WebLinkAboutHomestead_Henson (2) CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
-Y•o FORM
STANDARD1 SUPPLEMENTAL DEDUCTION
:..e Star FOmlSg3(R15/S14) HC70
Prescribed by the Deparmenl 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-L1-12-37,
i ' ^C 7/: `i CERTIFICATION STATEMENT 1-, -- t' a
.r ,. - -. Vin.-e 1l :.iVI. .
I(We) Ih , ! Sri i1 . 1 ♦L•. • 'b• Js Nia N rtify that I(we)occu (o p '•
place of resid:4•-or am(are)buyin•the following des bed real property under contract for which a Homestea r pe T-.' -ndard
Deduction is hereby claimed on the sate this application is signed, (date of s. ure). I(We): C r1 o\6
Own. ID Am(are)buying under recorded contract O` ,V L
o Am(are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation. G
..ti
❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified personal reside•ce trust;• IMP .`oil
❑ Am(are)the shareholder, partner, or member of the entity that owns the property. I , v PViJ
=1 -
ln ,........_.__.. ..
If buying on mntaq Fee Simple owners name -
Reorders o°ce where contact is recorded Record number Page
-2 '2- g " r�f..__. ' �+y- -WiPROPERTY,DESCRIPTION_,rena ' -a - ...yr.=!-��a
.
County Township
T dstnJ j • ,fownsh.y)
Parcel number liege! po-nl� Is the grope ' quuees5on
(Real{trope try [] ally assessed mobile home(IC 61.1-1)
If any porton of the residential 5mM:re cc the land not exceed:g one(1)acre that immedsstely surrounds that structure is used to produce income,descibe the use and cordon
of the popery utilized to Produce income.
a1,-/7- c20 °boo Ca.5. a05-0at
•
. . . _ *-
- _- , . . • PROPERTY OWNED ELSEWHERE BY CLAIMANT _ : :, . ''
State,County,and Townshp Is claimant vacating a homestead? .I
' ❑ Yes ❑ No
S of claimant
I hereby certify the above statements are true,correct,and complete. 1lRttl'v' _Ir_n�`_ _
r`an num`�' fw.1
Add.. NmMaa(numheraM S^eeL Sly,.stafe,aM ZlPCpde) � '�of vacated -r, tanJ(number and.Creel dtY.stall,and ZIP code)
A, a--1 C. 1 o so v./.
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' `-• ASSESSOR USE ONLY I ASSESSED VALUE_•t . HOMESTEAD VALUE , I y NON-RESIDENTIAL
Land not exceeding one(1)acre Immediately a -� ox
surrounding residential improvements (1) >3._. ?']c1 "'
Other land (2) .a
Total land(line l plus line 2) (3) _. - I - -- - -. _- —-_—
Residential improvements or Dwelling (4) as-tf - hr4773'--
_
Annually Assessed Mobile!
Manufactured Home Garage (5) _ =o°`I b F'`T-.-`a -
ys t _a_2<
Other improvements (5) C l-
-
Total improvements(line 4 through line 6) (7) I
Total value (line 3 pits line 7) (6)
I hereby certify the above Is true,correct, I Signature of Assessor Date signed(month,day,year)
and complete.
Worrying action-Signature ofAu6:or Date signed(month,day,year)
° - 71.4:-I < '�'^- STANDARUDEDUCT10N ALLOWANCEfi---.°�-rte yr .,a-=-' a RE
20 pay 20 Lesser of 60%of the assessed vane of the homestead or$45,000
Notwithstanding any other pm vision,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(12)of the assessed value of the mobile home or manufactured home.
Signatire of Audtor Date signed(month.day,yeah)
DISTRIeUr1ON: Original-CourtyAud.or,FieSamped Copy-Taxpayer