HomeMy WebLinkAboutHomestead_Nixon (9) ,,,% CLAIM FOR HOMESTEAD PROPERTY TAX FORM
YEAR
t,��;,7 STANDARD/SUPPLEMENTAL DEDUCTION
11, ir State Faro 5473(1317/1-16) HC10
V�f✓'] Prescribed by the Department of Lath Government Famm
INSTRUCTIONS See reverse side bar firing vurruclan.
NOTE Telephone,Soda!Secw tx drivers items,slate etlurSCabm and federal Ider n manbe,s at confidential under IC 6-1.1-12-37.
. WE) Jestre /Ylcttthea.) A. Lyon ty than ove)..., -•; <ota)•;,y...=i
place of residence or am(are)buying the following desalted real property under contract for which a Honest:'i:,.P :;• 'F-. -1.76%_ .1,a
Deduction is hereby datmed m the date this app*Cafion is signed, 2—/-/ 7
(are)entitled to occupy as a tuna(test) derroof under
cooperative housing corporation. S E P 1 5 2011
❑ Have a beneficial interest in the trust or the light to occupy the property under the terms of a qualified personal residence lost
❑ Am(are)the shareholder, partner,or member of the entity that owns the property.
- •
Garay
6-11630 V Town 19k9 i�,1 ,c
IWadn� T.-desrspdm Is the etpaty m question
�bl�-o7-/oaf-�2 (Orr sf fQrl[ 3/ Ii3Red accety ❑Armyo:sessst=ate hems QC 6-1.1-7)
Pr.35eT-
If armpa6redteadInpaelsmtaseaire na exceeding one CO sat than. anent mat evuaae a used a Produce theme.deerbe ea use as Galion
d me properly rand a produce:wane.
'1.1:7-/...7"-- - .>, 1-'' PROPERTY,owNED ELSEWHERE aY OCAIMA'N71� '-'TL - ° °. , .--..:77
Sae,Cary,and Toamdip Is claimant vacating a homestead?
❑ Yes ❑ No
Sgaase of claimant
I hereby cooly the above statements are true,correct,and complete.
Adam of crowd(neater end sweet dy,stale,a-CWooed Atari a weed liana eed,aaw Wedarandsam.d/:ale,one 77P oath/
.ASSESSOR USE ONLY 1 -ASSESSED.VALUE ._i. -HOMESTEAD VALUE 7;,.1 _ NON RESIDENTIALLUE , y__
VA
Land not exceeding one bn ety Lg'Lando oges ide residential improvements (1) : tee-. ):
Omer land -.
Total land(line I plus line 2) (3)
Residential Improvements or Dwelling (4) r-:..<._ e fi :