HomeMy WebLinkAboutHomestead_Turpin •
r c-,. CLAIM FOR HOMESTEAD PROPERTY TAX FORM
YEAR
to �,7 STANDARD/SUPPLEMENTAL DEDUCTION
`-w • Sp's Fam 5473(tell 1416) .
•_ _ Se,
�' • Prescribed N the Department d lib Government rearm i ; ' .t
WSTRUCTIONS:See reverse side&Along eathucons.
NOTE T-.... .:. Seanfx themes tense,slate iderddcadon andfer&rdl(ncaffon numbers are aaattital under IC 61.1-12-37-
hale
/�1 CEP.TIFICATION STATEMENT .
I(We) ''-►/],.J�� 1 ` A. certify that I(we)occupied as my(�)opal
place of —.•=..-a-am(are)buying the sr• —. .>• I property under contract for which a Homestead •roperty Tax Standard
Deduction is hereby claimed on the date this appgcation is signed, (date of`/-, re.
❑ own. ❑ Am(are)buying under recorded contract GIBSON COUNTY AUDITOR
❑ Am(are) entitled to occupy as a tenant-stockholder of a cooperative housing corporation.
❑ Have a beneficial interest In the bust a the right to occupy the property under the terns of a qualified personal residence trust
❑ Am(are)the shareholder, partner,or member of the entity that owns the property. ,
Tsang disNa(sty,(aaa.(oaranr.6
rumba laG-0Q-13 d 00-8Da tiS -0 (8
Uge derapEan Isere propel,in question
❑Real papaty ❑Armrest,tensed mMea harm(1C 641-i)
If any potion or the residential stoats or tM tend na eaeedag ate Of acre that immediately sarasgs that eeinae13 toad in prmum Mane.Naame the Me met pavan
d the property udtrad to produce ham.
rte 74:. '+Trig • .m
-. a..�� .�_-._a.kva�yar.-sF'R02cRTX;OWNED.ELSEWHERE:eY CCAIMANT�';,$�'d„{�� ”,"'�js'}'.
Jae.may,and Te`^*dtp Is claimant vacating a homestead?
�q�a� � + ❑ Yes ❑ No
I hereby ce-Ufy the above statements are true,correct and complete. \/I `7CJ- /J � 'mil nj
Addax d contact(rant acid Moat d6;Mae,and ZIPcat) 14 Address of JTamt dhoh>:maso-d.alamJGywmr.(rend Meet My.stet w ZIwJe)
_ Ere
.:' ASSESSOR USE ONLY St...--i ASSESSED VALUE'^;I HOMESTEAD VALUE'''. . ~NON-RESIDENTIAL=+"S
Land not exceeding one VALUE
surrounding residential improvements lately (1) -SY;,Y fi .---.-
hs x
Other land (2) .e'...@-. _"€_s_....:;.
Total land(line 1 plus tine 2) (3)
Rasbienlial Improvements or Dwelling (4) i tF u2-f-. .,. f
annuatly assessed mobile -.
manufactured borne Garage (5) t..
Other improvements (6) vX: µy1.
Total improvements(lined through line 6) (7)
Total value Vine 3 phs line 7) (8)
I hereby certify the above h tone,correct, SCR ofASSesw Date seared(rn l;day,Yea)
and complete.
VelyirN adion-Soneure of Auditor Data stood(month.dry,war)
20 pay 20 Lesser of 60%of the assessed value of the homestead or$45.000.
d -a otherpneskhn,the sum of the dedsGgngomvided in IC 61.1-12 to a rrebtle home $
•t�• • .j• properlyoKto a - ry -,red home the k . assessed as real properly may
thefts not t •as real
not ex- -• (V2)of lye assessed velem/ rmbde -.home.
, •r Dare signed(math Y,
4 I ! 7 7
DLSTRIaUT1ON:edged-COaayAnstaa,Re3mmpae owe-renewer
a of 22
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