Homestead_Deffendall e t•
CLAIM FOR HOMESTEAD PROPERTY TAX
it k ' STANDARD/SUPPLEMENTAL DEDUCTION FORM YEAR Sete Form 5173(R17/1-16) HC10
Pronouns Aim a Depabrea atom Govaarea Rance
INSTRUCTIONS See twine side forELng eutrix6ons. i
NOTE Telephone,Social SeaaitX angers&ense,state kderrffration and federal ides:Moat=numbers are mradential color IC 6-1. -12- ' -
CERTIFICAPON`STATEMENT
I(fue) SRO 1 -�%.�. I Dir•- .L i t at . _ • ^••-, I(we)occupied as cltu • • 117
place of resid= : am(are)buying the •l• •, •! . .-.real property under contract • which a Homestead Property Tax Standard
Deduction is hereby claimed ca the date this application is signed, (date ofsignah/!e).!1 '-): tl
I _ •
L ❑ Am(are)buying under recorded contract
n ' 1 e
L}Am(are)entitled to ecapy as a tenant-stockholder of a cooperative housing corporation. GIBSON COUNTY •UDITOR
❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a quailed personal residence bust
❑ Am(are)the shareholder. partner,or member of the entity that owns the pruperty.
` - - .
- -
Casey Towsh. . . .... ..
ve t t. '.. ' .. ( __
P.^aywel_area1 IQ 1 y� Legal mascrip on./� 1 �Y /�� Is h
ex`1 - 4 1.4.. YO - ` V - —V V n. l OL•ob7 Real asOaty ❑Away assessed amble tvre(rC a.1.1-n
If am parr d me addelial»ra9se or tie sae rnl eroeabg ore(1)acre am fine y/party
to mace ham¢-descte he use aid minim
at as aopMy 62661 b pacts coma
- _- • nt 7'=yPROPERTY,OWNEDELSEWHEREBT.0 LA GIANT,._ ""_f - ,_r ',
Sate,Casa.aid Township' Is daa`ig ,vacating a homestead?
es 0 No
I hereby c e r t i f y the aloe s t a t e m e n t s are true,correct,and complete. nd I I /, I r
UUU/// II y jg
Address ( . .. My.174 and Wade) ••.-1d Imo,ir.. (nadsenJ mad.city,stale.and ZlPcob)alii
b �V AA*4T l'.>1_..s. / •s IL I ‘ Al .
utir y .1• 1 110N-RESIDENTIAL ASSESSOR USE OILY � n�SSESSED VAVuc II .I, _HOh1ESTEA❑VALUE _.( 3 myALUE
Land not exceeding one(1)acre immediately sr � .�t
surrounding residential improvements ( ) :t ` E: 4 E4°5
_ ?'yi -1:'W-
DdHr lamb (2) -+ s ]
Total land(line 1 plus line 2) (3)
Residential improvements or Owaillng (4) -,i_f...,._•.i;,:.1.°c c i::g:'
annually assessed mobile I y
+'+
manufactured home Garage (5) .a_�x�-�� i.a5 -,"x: ,,'fis_,'
Other Improvements (6) `ti' 4Z L ..k`,,la`C
Total Improvements(line 4 through line 6) (T)
Total value(line 3 phs line T) (9)
I hereby certify the above is true,correct. SpaASe do-.«..v Data aged(rnvl)s dry,gee)
and complete.
Ventres.dim-Signature d dud=) day
n--"_- 'rSTANOARD DEDUCTION ALCOVJANC Er: --.-- �- � -----;-:---'-'4 I'/1
20_p9y 20 Lesser of 6056 of the assessed"dae of the homestead or$45,000. OCT 5 2017
NoaaDlstaadg any ofherprovision,the sum of the deductions provided N IC 6-t 1-1210 a mobile home $
that is not assessed as real property or to a manufactured hone that Is not assessed as real property may 1
not exceed one-has(1/q of the assessed value of the=We home ormanufactured hone. .��
Sulam et r Data-:.'... ti::.m T%%geiSli
C't) L-1/4-i1i GIBAIU. •r 1, A DI OR
IRSTISYL ION:aip"vai-Casey As a.ReStmm.I Copy-Tapers •
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