Homestead_Wolf (2) V:+ CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
t,: . w STANDARD/SUPPLEMENTAL DEDUCTION FORM
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". Soo rvmaa73(R17/146) HOW
Resented by the Department of LOOS Government Anne
INSTRUCTIONS:See reverse side krg nu instructions.
NOTE Telephone.Sodal Sepeigc . ioente,slam bendecabon and fetali*ertfra5wt ambers em cMdential under IC 6-1.1-12-37.
a '.
I(W) (2.--A__ O certify that I(we)oc apte4 r../ )pnncip"r,
place of residence or am(are)buying the " desmbed real property under contract for which a Homestead P.... ..j. Standard .
is hereby claimed on the date this application is signed, (date of slgnatu - d -7,..:,..; ,/J \VV�
❑ Am(am)buying under recorded contrail. yT��I�.
❑ Am(are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation.
❑ Have a beneficial interest in the test a the right to occupy the property under the terms of a qualified personal residence
❑ Am(are)the shareholder, partner,or member of the entity that owns the property. /j.
_ - _
*etching on cOraaG,Fee Sii 4eueafs none
Recorder's ado)Ware mama is retitled Record rumba Page
„ PROPERTY DESCRIPTION
• •t TwnsNp
0 y Crip t ; ok_ ./ ' ,
••?•.-•.•-•- / is Faasda.
_ 33- 3...,/ Red prapety ❑Amway assessed noble home(IC6-1.1-7)
If any 4, �,•dte rer n-areor MC std exceeding one(1)so tatnu /Cp�simrLS.Suaelb peen hucoaue.desmba Panead portion
d the tared b produce item. (/!/- 04'( "Ir
3G-a.33-,36x-o oo.0a- dal
PROPERTY OWNED ELSEWHERE BY CLAIMANT ` ':• ---. " ' x'1
Ste.Carly.and Toencry Is dahnatt vacating a homestead?
❑ Yes ❑ pb
Siamese of
I hereby certify the above statements statements am true,correct and complete. .
Address of cmbd(rwdeand street get gift and ZIP m4) it ,d any(number an/shed,airy,Sr.and ZIPoode)
I N 1 '1 s• ad , {-pet. 6,24Acif / x y B •
ASSESSOR USE ONLY i ASSESSED VALUE . I ;-HO1.1ESTEAD VALUE .,.I; NOU VE IIDENTIAL _
(and not exceeding one(1)acre immediately
sunounermg residential improvements 0) 'ff r T fi i i `i-
Other land (2) ' - 3`v�' ._e
Toll land(line I plus line 2) (3)
T� .:3�. ara-y-{s.
Residential Improvements or Dwelling (4) - uio{pa-c}_.'S:__-s--
annualy assessed mobile/ ..
manufactured home Omer (S) >#;�. s .1 S "'r,
5,� x(- 17E
w-._:-
Other improvements (6) .aYi .-1.:::4 4 'wVYF-
Total improvements(one 4 through line 6) (7)
Total value(line 3 pis line 7) (S)
I hereby certify the above is coup,correct,
Signature of Assessor Date stead(morels,dry,year)
and complete.
Vaiyin anion-Si®>shre d AuSbr Dab sired(wait day,Sea)
5..--,.-., a-,,.._. - F-.. —. _ _ _
- - � � - _STANDARD DEDUCTIOtJ ALLOlYA1JCE '^ — :- c. -
20 pay 20 Leaser_ Leer of 60% assessed of the assed vaue of the heroes/Bad $4 aos/Bad $000. -
Notmetstancring any other provision,the sum of the deductions provided is IC 6-1.1-12 fo e motile hone $
that is not assessed as real properly or to a manufactured home that Is not assessed as real property may
not exceed one-hal(1/2)o1 Um assessed vase of the mobile home or manufactured home.
Signature dAtdbr _ Date cord(=rat d Y.year) •
DISTRIBUTOR Original-CamayAsses, Sta mped Copy-Tax ayer •
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