HomeMy WebLinkAboutHomestead_Delong CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
STANDARD/SUPPLEMENTAL DEDUCTION FORM J
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Press by the Depaaa.airLoa GowmmaFiam
INSTRUCTIONS'See reverse side fording 61Yfutoru
NOTE Telephone,Soda(Securfic 1ldvera license,slab 6 erdboa5on and federal idea:Wagon numbers are confidential under IC 6-1.1-12-37.
I(We) LC1 I I Orr a certify that I(we)occupied as my(-our)principal
place of residence or am(are)buying the to0v✓ri is real property under contract fa which a Homestead P}up.aty T rd
Deduction is hereby clamed m the date this • I is signed, (date of
❑ Own. ❑ Am(are)buying under recorded contract GIBSON COUNTY AUDI—OR
❑ Am(are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation.
❑ Have a beneficial interest N the trust or the right to occupy the property under the terms of a quaffed personal residence trust
❑ Am(are)the shareholder,partner,or member of the entity that owns the property.
Canty \ Toemtdp • Tatlng diaid P,: tawq,.
.4 AA
Legd drat. Isere in quasi=
3k —17—I 00—mi 803-c:. i Lt Real Property 0 avaa2i assessed=tee 4 ,(IC 6-1.1-7)
Ran/'portion d are residential scare or the lad net omee&V one(1)acre that immeckeenly wands that structure is used to Rmdee inmate demise the use and paoon
of en pgaly oared to pedm Lame
4;1-4,1. .r;- - -.'74 PROPERTYOWNEO.ELSER'HERE9YCCAIh1AN,,_ 4n., .h. °:. ` '"
State Caney,and Township Is claimant vacating a homestead?
❑ Yes ❑ No
iaetse d
1 hereby ratify the above statements are true,correct and complete. �j' „ - 2
AMess d=Vail(neatening shoe(*store,are ZIPmd) �oJ ordedt A`d eny(number oly,.Cab,at 2PPcds)
5010 te1J, Zp6 5 "n
_ ASSESSOR USE ONLY • _ • ASSESSED VALUE _ HOMESTE O lALUE i.,_ N0.1_ ESIIDENTIAL.
Land not exceeding one(1)au:•Immedlataly
seuroundhre residential Improvements (1) Ye i.
Other land - t
Total land pine 1 plum fire 2) (3)
Residential improvements or Dwelling (4) -__ _ ___-Y �.r
annually assessed mobile I
manufactured borne Garage (5) :.._;--k_: «, .r.._.'= '•'
Other improvements (6) _,.,FfE__. ,-?-.r.
Total improvements(fine 4 through line 6) (7)
Tote!value (fine 3 plus fine 7) (a)
1 hereby certify the above Is bus,correct
Signature of Assessor Dam signed(mmrds day we)
and complete.
Veaybg-action-Signature etaudlor Data sired(rasa day,lea)
20_pay 20_ Lasser of 6C/96 of the assessed vdue of the homestead or 545 000.
NoMithstandirg any other provision,the sum of the deduction provided in IC 6-1.1-12 toe mobile some S
that is not a- seed as real pmperty or to a manutactned home that is not assessed as real property may
not exceed- (1/2)of the assessedvaar •-the • or „--- --home.
.ea��9} are ►-t ' L' °775 �7
I.DISTRIBUTION:Origbd-CantyAa to,Fee-Stamped Ccpy-Te rya (,(1J
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