Homestead_Wright (2) `+y3: CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
• STANDARD/SUPPLEMENTAL DEDUCTION FORM
t -- Stab Form 547J(Rif/1-1s7 HC1O
Prescribed by die Delamvta LOG Goverment Finance
INSTRUCTIONS See merle side for trig etstuctms.
NOTE Telephone,Social Stewfl%divert&cense,state idea5Ea5on and federal Identification numbers are confidential under IC 6.1.1-1247.
� � �_, � - �
desaibed real property ger contact for which a . f-- r -
Deduction is hereby dalr ea on the date this application is signed, (date of signature). I(We):
❑ Own. ❑ Am(are)buying under recorded contras AUG 2 2 2017
❑ Am(are) entitled to wavy as a tenant-stockholder of a cooperative housing=potation
❑ Have a beneficial interest in the trust or the right to oa ipy the property under the terms of a qualified •. -•ence • •
❑ Am(are)the shareholder, partner,or member of the entity that owns the property. _ frI:
' - '
Casty TosmNp ,t Tat tuna(sly.t/o st NerstsfjN
Paced manta Ie�I Eesatm ��e' O DI, .
�O ez t S�Q �-- ❑R�prmeny ❑a assessed=Us tome(IC 61,,-n
It any pm&m d the madonna sanets or de la n1 not (1)awe Mat hmnet5Self sumrads am structure is used to produce Income desabe the use aid porban
d be property mitred to mane;ram
GI' (a - /y- / 9 - .Le/ _ ODo • / 5v - 00 7
s 'z.Yv , T.7PROPERTY,OPWNEDELSEVMERE 9YCLAINANW .71.'...4. -
see,Casty at Tor sip Is clamant vacating a t n estead7
❑ Yes ❑ No
'l..y dabL?N • `.
I hereby•=i, the above statements are true,=tea and complete. , \..
R , , 4
rs
'!` 11*. . ilicw� Walt i�`' 1`� - ,
:r ASSESSOR USE ONLY _ . I !•ASSESSED yptitE' i s HOMESTEAD V LUE'_,i M1OrI'R SIIVEM1TIPC
Ind not Surrourre exceeding ideential improvements (1) s! c.t+YY j •yet C :inn`
Other land (2)
.".....3,-----, _ - .; -T -
Total land(final plus line 2) (3)
Residential hnprovemenb or (4) a.: »^,fi..?:iw„V1t_?
annually assessed mobile I - .n
manufactured hem* Garage ry xt fr s- i r
(5) :sue-?7:),•,. .. . _Z4t
Otherhmprovements (6) _gr , k;
Total improvements(line 4 through line 6) (7)
Total value(lire 3 pis line 7) (e)
I hereby certify the above is true,correct ofASSessg Dab started(naerl,ds):yeas
and complete.
Veriny&g won-Scrums°oNrdb Data sifted(maa day,)ear)
' - ,m -444'. S. - 7.�'1-5L M1DAR.D DEDUCTION ACLOYaJC • ' .”' _. - —,c7 z_e, -.
. ,
20 pay 20 Lesser of 60%of the assessed vdue of the homestead or 515,000.
Nonsithslanding 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 bs a manufactured home that is not assessed as laid pmpedy may
not exceed one-halt(f'Z of the assessed value of the mobile home or manufactured home.
Sggrei� �q / Date signed(month,MM
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m5ir�tlrroN:Orcmol-Casty AUdPr;
("6/-"6/-Cue-J4 Taperer {{
Pagel of
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