HomeMy WebLinkAboutHomestead_Parke CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
4 � STANDARD/SUPPLEMENTAL DEDUCTION FORM
Stab Form 54ThRi7l 1-16) HOW
Presented by to[weakener teem OcvenaaY Franca
INSTRUCTIONS:See reverse side fir fang t14tALaa
NOTE Telephone.Social Secv@X diners'sense,slate iderffirason and federal identification numbers we confidential under IC 6-L1-12-37.
I(We) certify that I(we)occupied as my(our)principal
place of residence or am(are)buying the following desvbed real property under contrail for which a Homestead Property Tax Standard
Deduction is hereby claimed or the date this application is signed, (date of slgnah/re). I(VVe):
❑ Own. ❑ Am(are)buying wider recorded contract
❑ Am(are) entitled to occupy as a tenant-stockholder of a cooperative housing corporation.
❑ Have a beneficial interest in the bust or the right to occupy the property trader the terms of a qualified personal residence trust.
❑ Am(am)the shareholder, partner,or member of the entity that owns the property.
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tLaying as cub'a:L Fee Saiw4a avers name g
Remdefs once where convect is receded Renard n I 11 f•/•nD
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PROPERTY DESCRIPTION -` _
Canny Taa"p Tetg data Rey tom raa.Mib DEC 18 2017
Pad neater Legal descip:m Is the Weedy h quxtias —
❑Res/Pr Paty ❑AmaaY P�i 0
If am paten ce to wee:Vte stumre ate land ended ore(1)me Pat immecmeysmmsa that sau9me b d
ant property abed a prca e:raroe. L21OJ L�UM111 T nt'D OR
&o- )a -03 - 103 -003, a39- Da? ci
P.ROP,ERT;YWN ED ELSEWHERETBY OCAlh(AN i Yr..6`X._-'* iJ'a- 2 $}i;:. '£T37t--
State,Casty ad Township Is dammd vacating a homestead?
❑ Yes ❑ No
Sigebsa of claimant
I hereby rruttfy the above statements are true,erect and complete.
Adhess marred( ••street delra-a..ax!ZIP • Address drabtl harmead,it any @mberadaaee,Zc.sate,end Z/Pmr6)
a � . i . )620
ASSESSOR USE ONLY _ ASSESSED VALUE =._iF HOMESTEAD VALUE. NOp-R IIDENTIAL
Land not exceeding one(1)acre kim%edietely ♦r
srmoundbmgresdentialtnprovemenb (1) T .-•s'. ?:._ -_
Other land i gr•li:ibEi
Total land pine 1 plus fine 2) (3)
Residential improvements pveinng (4) •
ts .'..
annually assessed mobile I
manufactured home Garage (5)
Other improvements (6)
Total improvements(line 4 through line 6) (7)
Total value (line 3 plus fine 7) (5)
I hereby certify the above is true,correct. Signature ofASSOSSa Date signed(de2q flax Yen)
and complete.
Verihiig anon-Signature df vita Data signed(amass,day.Wag)
t''•: - - `.. TANDARD,DEDUCTION'ALLOWANCE
20_pay 20 Lesser of 60%of the assessed vane of the homestead or$45,000.
NatMNstanSmg any otherpnwision,the sum of the deductions provided le IC 6.1.1-12 to a mobile home $
that is not assessed as real properly or to a manufactured horse that is not assessed as real property may
not exceed al(12)of the assessed value of the nmbee home or manufactured home.
Sigorecf • --_.- Date dOed(Mae).dry,yea')
Is �a-►1
LtsmIBUTION:Original-CanyAUf'a,Fie-Stamped Copy-Taxpayer
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