HomeMy WebLinkAboutHomestead_Frederick nip CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
r' �;_ STANDARD/SUPPLEMENTAL DEDUCTION FORM
�' sterenum 5e73(R17(1-16) HC10
Newtaed M the DepartmentalLeal Goverment Finance
INSTRUCTIONS:See reverse side k rOTag itsl ons.
NOTE Telephone,Social Sewell,divers kense,stab idenfkabon and federatidentelearron numbers are confidential under IC 6-1.1-12-37.
I(We) a citify that I(we)o4pred
place of residence ct am(are)buying the ' desaibed real property under contract for which a Homestead P
Deduction is hereby claimed on the date this application is signed, (date of signature). I(We):
❑ Own. ❑ Am(are)buying under recorded contract JAN 25 2018
❑ Am(are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation.
❑ Have a beneficial interest in the testa the right to occupy the property under the terns of a qualified •• -• ' •-•e . •
•
❑ Arr1(are) the shareholder, pastier,or member of the entity that owns the property. ,• tl'm �il
- - -
:(3Asm
Pail matte pte��cMsafpsar `_Ism/ter%papety In quest/ex
` I N t r-) i l _3_ 1 .4146_ ❑Rea papery ❑Aaaeiy assessed noble hone(/C 61.1-0
II am padre of the reedeCa acre or de lent not exceeding one(1)acre Mat I meeaely wands thst structure aused to podce nano,desate de red and prom
a the Property(Aided to pan hale
d 6 - ao - // - /oo - do/. / 76 -oo /
?7:1 -7Gu,'$al"- Y--r. _ --l?RO?ERTY.OVINED ESE`NHERE RYS IYA FAN'r _e".- ,.' . 6 �i.
Sae,Canty,and Toon:tp Is claimant vacating a homestead? '
0 Yes 0 No
I hereby rattly the above statements are tole,cored,and complete.
)s {ANess of-----(nmiim et_--•;r.ide.-.ZIP.... (-/_O vacated and shsel.ay stile.and ZIP cod)
I. k -/ lil..>_.1.1/ l (116 •- .)^ASSESSOR USE:ONLY l °ASS_SSEO VALUE ..i ..HOMESTEAD VALUtr-i fj v NON RESIDENT1.f.1l `°"+
�'. .. .. ', - ..VALUE °-
surrounding residential improvements (1)letdy (1) 2: `: ..sir....r �
Other land (2) - ' .s
Total land(line 1 plus fine 2) (3) -.
Residential impircmmtents or DaelIng n A., yilw -.
annually assessed mobile I r - t; 'wt.
manufactured home Garage (5) .- ,.c. . ..; . ,- -:' r.
Other improvements (6) l? :_!.,.xn,t.. ,s..
Total improvements(line 4 through line 6) (7)
Total value (line 3 pha line 7) (6)
I hereby certify the above is hue,correct, S'V'mee ofAssesw Data.ogled Innerly dal:yea)
and complete.
yenning aeon-Sig aaseor Ndbr Dab-signed(nurt%deg.fear)
1 -{4 - �s'y•, - _ - ;STANDARD DEDtJC IONALLOVIANCE -„ i m;- --�.,. w- -,y_,
20 pay 20 Lesser of 60%of the assessed wive of the homestead or$45,001
NoMithsbndl g any otherpmrisian the sum of the cbductions provided in IC 64.1-12 to a mobile home $
that is not assessed as realpmperty orb a mmMulacbred home that is not assessed as teal property may
not Mead one-hall(1/2)of the assessed value of the mobile hone ormamdactaed hone.
Sigmre aAter Data signed(writ dye)ea)
e'/.
DlSnRIOUnow Qig6el-Carty Audit„fge-Sa esd Copy-Taxpayer
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