HomeMy WebLinkAboutHomestead_Devoy F 2; CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
i'' . STANDARD I SUPPLEMENTAL DEDUCTION FORM
State Formby the(D15/514) HCI O
Prescribed by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for firing instructions
NOTE:Telephone,Social Security,drivers license,state identification and federal identi2catbn numbers am c n.5den:ial under IC 6-1.1-12-37.
. - . . m, ,CERTIFlCATION STATEMENT,, r't- ,' .- •< ; :i .". •-.F
I(We) O--Lh4-r.C/ - AIONI , IA ce"'that I(we)occupied as my(our)principal
place of residence or am(are)buying the following described real property under contract f. which a Homestead Property Tax Standard
Deduction is hereby claimed on the date this application is signed, (date of signature). I(We):
❑ Own. ❑ Am(are)buying under recorded contract
❑ Am(are)entitled to oocupy as a tenant-stockholder of a cooperative housing corporation.
❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified personal residence trust .
❑ Am(are)the shareholder, partner,or member of the entity that owns the property.
tl buying on tooted.Fee s'v^yz ovmria name
Recorders o5ce where cotaa is recorded • Reed number Pape
TrFr ?!?_° i&i'_:7 e.2tPat egg?.17.-L -r PERTY;DESCRIP.TICK_WAS=`- `v'-n" y- y-; -;ysf
County Tovmship Tama dtabid(ofy,loo,townS)
Pawl nutter Legal desaiirm / • a Is it _'. -
a 'll Real proper try ❑ Annually assessed noble tee(IC 6-E l-T)
I:any carbon of the residertal se-4caue or the land not exceeedag me(1)acre that immediately surrounds that sttul ire is used to produce income,desete the use and portion
of the property thzed to produce iixorre.
02 62 -os _o / _ D. 00 - 00 3. --) 0 -) - o f -7
PROPERTY OWNED ELSEWHERE BY CLAIMANT . - '' _ -
a e,Carey,and T tip Is datnant varatng a homestead?
❑ Yes ❑ No
Sgnatre,f claimant
rd
I hereby certify the above statements are true,correct,and complete.. //
odAti1o1Zimn �C
of oohed(number end sleet rely,state.and ZIP bade) Address of vacated homestead,d any(number And street,f3Y stet end ZIP code)
IC Ce,k3f ii . Si • .a ioS 9s.ra ! i-, 1
ASSESSOR USE ONLY, _ - ASSESSED VALUE. • 'I ,HOMESTEAD VALUE'r r NON-RESISIDENTIAL '''
Land not exceeding one(1)acre immediately
surrounding residential improvements 10/
Other land (2) . :$� ±2;_-3_.- '• .
Total land Nine 1 plus line 2) (3) _ __ _
•
- .-
Annually Assessed Mobil or Dwelling (4) _
Annually Home MObilal - k4
Manufactured Home Garage (5) �.. z?�
Other improvements (6) '.LAP z:_.. ___ __ _
Total Improvements(line 4 through line 6) (7)
Total value (line 3 psis line 7) (6)
I hereby certify the above Is true,Correct, Signature of Assessor Date signed(not,day,year)
and complete.
Vetlyhg aeon-Signature ofAudta Date signed(month,day,yew)
+y11-<X". ;-_. T -M t$9 s=eS !STANDARD DEDUCTION•ALLLOWANCE .wan-total/42:
�_:
20 pay 20 I near f 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 mobile home $ FEB.1 7-2011
that is not assessed as real property or to a manufactured home that is not assessed as real property may
not exceed one-half 02)of the assessed value of the mobile home or manufactured home.
- / Date signed(rmmnj».day,Peer)
GISSu NCruel I Y AUDITOR
DISTRIBUTION:Original-Carey AUdb,Fie-Samped Copy-Tazvyer