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Homestead_Hunt
t� � CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR STANDARD/SUPPLEMENTAL DEDUCTION i�, Sae Form s473(R17/1-16) HOW Prescribed by ee tkpartrmrt or Jam Government ramce INSTRUCTIONS:See reverse side far Ong insbucbons. NOTE Telephone,Social Seaurtb driver's grease,state Ider6xa:M and federal identecation numbers are onfdente i itbr IC 6-1.1-12-37. I(We) ran o n 4" K e e i .J S H lx nt' citify ttJat I(Yoe)occupied as my(our)prNtpal place of residence or am(are)buying the hollowing desbJbed real property under contract for which a Homestead Property Tax Standard Deduction is hereby&dined on the date this application is signed, (date of signature). I(We): ❑ Own. 0 Am(are)buying under recorded contract O Am(are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation. O Have a beneficial interest in the trust or the right to odaspy the property under the terms of a qualified personal residence that 0 Am(are)the shareholder, partner,or member of the entity that owns the property. - - - - _, miq (dY.hymn larrl ) . b Pam neater Aima Pnprry ❑ nassessed o oSda home(IC 61.1-n le COUNTY AUa tTOjietrtyhgaauat It any parlor d the respereal sincere or h bra not exceeding ore(1)ace eta immebaey Amends that mums.b used to produce warts deadbe the use and eaten el the platy vistaed to podrae beam 2-4 3— 1 3- - ) c - oo I . L5 - cob -''•7 ?a: -X11ri� ' PROPERTY,OWNED ELSEVITIERE�BY.CI'AIh1AtJT -j/' rs- 4 .. i _ - St..Corny,ad Township Is claimant vacating a homestead?�.. ❑ Yes 0 No I thereby certify the above statements are true,coned,and complete. ► f/iIf/ /IJ Address d catad(swattered sheet city.dab,and ZIPcde) .avid .� l,GhwEreM Street,city,cob.real➢Pmb) . i.�,_ . IB C 1 I a ( • I c < . C�iu, ZAJ . " ASSESSOR USE OCJLY _��i< ASSESSED VALU E,, `I .HOtIESTEAO VALJE i-tY NO:I RESIIDENTIAL :'1 q� too Lend not exceeding one(1)acre Immediately s t/Vw swaamtemg residential improvements (1) , C'P'4`jt2t>y ,. v _r-F__. Other land Total land(Intel plus line 2) (3) Residential improvements or 4 annually assessed mobile/ PrOmg ( ) { i` r�< V n manufactured home Garage ($) Other improvements (6) ,N.°t:f,. "F --25°.' Total improvements(line 4 through line 5) (7) Total value (litre 3 phs line 7) (0) I hereby certify the above is true,correct, Signature otAssesaar cab signed(nnah,coy,yea) and complete. Verifying ectmn-Signataa of Auditor Dab signed(moan day,Yea.) I.-sets; s-__mm " .r'STANOARDDEDUCT10;4'ALLOWANCE a %t6Lt ao p r`y-tc'iJ a a 20 pay 20 Lesser of 60%of the assessed vane of the homestead or 545.000. NMMNSbrdug any Other provision,the sum of the deduc0ors provided in IC 6.1.1-12 to a mobile home $ that is not assessed as real property orb a manufactured home mat is not assessed as real property may not exceed one-hat(5'?)of the assessed value of the=bee home ormanWachaed home. Manatee qA 4t r y-� i-U Data signed(nn*day,)ear s/lr�z 71-2 7-/ 7 D151WatrrlON:Original-Cat Auditor.Ede-Stamped C©y-Tarpayr Page lot 2