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Homestead_Slinker (2)
s — r. CLAIM FOR HOMESTEAD PROPERTY TAX YEAR . 7 STANDARD/SUPPLEMENTAL DEDUCTION FORM Stsla Form 5473(R17/I-1s) HOW Prescribed by the!apemen or Loud Government Famae gI INSTRUCTIONS See eyene side Iota any iastrudrons NOTE Telephone,Social Seotcilx diver's'cinse,slate i>er ml and federal l4r a5on numbers are wn5dertialu der IC 6-1.1- 37. I �-' ,10ERTIFICAANOONN STATEMENT . I(We) S�\�'I✓�-I,l''I$!:..a 0a• d' C.!3fl G that I(we)ocwpled as my(o I 018 place of residence or am(are) •I -.the following -—. .-.real property under contract for which a Homestead Property Tax Deduction is hereby claimed an -date this application is signed, (date Of signature). I ): ❑ Own. ❑ Am(are)buying under recorded contract. ' I n,.i ❑ Am(are) entitled to occupy as a tenant-stockholder of a cooperative housing corporation. GIBSON COUNT' AUDITOR ❑ Have a beneficial interest in the bust or the light to occupy the property under the terms of a qualified personal residence trust ❑ Am(are)the shareholder,partner,or member of the entity that owns the property. _ - - _ _ -. • - Caney Toast Tatra data(dry,town loma/i* . Panel nee lagd descipnm is the property in quasar= ❑Real p W elY ❑Aavaay assessed r oble lime MC 641-7) El any Paton d the eedemitl structure a de let not eIDMdra me(1)we that ateeCSCN surrpads aNt soudtaa is used is pagan roam desa3e the tae and pardon d the properly wired is produce iron 39 b- 8b—Ig o9D© -DO3. 0E 3 —Da1 `exrF- tr PROPERTY,OWNEDELSEnHEREBY.ceAlmAnT ..:Win s.ici �r E :°s Sze.Carry,at Tanta Is claimant vacating a homestead? ❑ Yes ❑ No Sire of dement I thereby certify the above statements are true,correct,and complete. ✓'/ I �dr ... Addles of contact(mmlbeandsbeeL aly,aze,sM ZIP mds) Addend hanastr i.Ea9 Wmde*W#eet.dlY.state,ae ZIP code) • ertist °. 'ASSESSOR USE ONLY s t ASSESSED VALUE n HOMESTEAD IALUE'-..I N0.1-vaLeUENTIALL ± Land not exceeding one(nacre Immediately .- .-- 211) steraunding residential improvements (1) Kty*,+-.T.4. .s-F£a ;w Other land (2) Y.y.„ __..-t.._......c Total land(lire I plus line 2) (3) s lY '"1"Resdndahnprovements or Dwaine (4) r -23-1 n .' annually assessed mobile l 1, ? nal manufactured home Garage (5) ._ ..... - x _ ! Other improvements (6) * ._...-�L-="_T.-_ r g e: Total improvements(line 4 through line 6) (7) Total value (The 3 plus line 7) (B) I hereby certify the above is true,correct, Sipt6ne in Assessor has signed(moat;day.lea') and complete. VeNysa arms-amaze of Mater Data dgnee IS day.Year) -'` -;�iy z-%a _ :. . __:iSTANDARD DEDUCTION ALLOWANCE- w��•j;�_': -yam q _. ?r.,�j 20_pay 20 Lesser of 60%of the assessed value of the homestead or 545.000. NosihhsWxgng any other provision,the sum of the deductions provided in IC 6-1.1-12 to a noble home $ • that is not assessed as real property or to a manufactured home that is not assessed as real property may not exceed one-ha(112)of the value of the mobile home or manufactured home. 6ig�raprym�or - R� 0Z-17 DSTWBUT TI ION:Original-CartyAS FaaSaiped CcOy-Teryaye Page I of 2