HomeMy WebLinkAboutHomestead_Silkey CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
STANDARD/SUPPLEMENTAL DEDUCTION FORM
Sex Ram 5473(RIT/1-16) HOW
Reacted by rte Department lass Goverment France
INSTRUCTIONS:See reverse side for firing instructions.
NOTE Telephone,Soda/Seaatx drivers license,state ieertffcrafion and federal Ideates:ebbn numbers are confidential under IC 6-1.1-12-37. t�yr.�/�
I(N1e) certify. • fy that I(we)occupied as palms J
place of residence or ' the following described real under contract for which a Homestead Property T nt
Deduction is hereby claimed on the date this application is sig (date of signature). I(We.
❑ Own. ❑ Am(are)buying under recorded contract �t 3 1 20/8
I
❑ Am(are) entitled to occupy as a tenant-stockholder of a cooperative housing corporation. JAIV
❑ Have a benendel interest N the trust a the right to occupy the property under the terms of a qualified personal residence trust
❑ Am(are)the shareholder, pander, or member of the entity that ovens the property.
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Carty Township •Tang dmid(oty,
Pave nmmer legal desa ta, la the vropaly n aesiorr
!?Real aaPet' ❑Annually assessed motile tone(IC 6-1.1-1)
easy potion at ie rrsdenlxl uumse or doe land not motel g an(1)roe Ado nmedxsry amords let strums is iced to produce vane.Mate the roe and potion
Mt*orgasm shed is prodme income
d !o'/S —/3-/a/ w //241 -O
74;51 t. -s.o'�' P ROPERTYOWNEDELSE`JIHEREBY CLFIh1ANT - „t,.'?-q
Sax.Casty.and Taeda5 Is claimant vacating a homestead?
❑ Yes ❑ No
•+y of claimant
I heetry certify the above statements are true,correct,and complete. 11111.■'' g
• oamci(number and street cdx tale,ere ZlPmde) l- / a real a5 Addeo ancatdt-- .dany rR! .!RIrcr...-code)
�o`i !Cern, br_ /DJ- 7(9'2 •ise�:�'
' _ _ s'F • •p(Y . +- >!' .- • .,_.� •Pt T `•.V. � -_.-;NON-RESIDENTIAL". ..
Land sdiai �la
soirou mp edeentl mpro emenb (1)
Other lane ,
Total land(line 1 plus fine 2) (3)
Residential improvements or
annually home assessed N
mmob( I
m
manufactured ho Garage (5)
Other improvements (6) ec,
Total improvements(litre 4 through fine 6) . (7)
Total value(line 3 ohs line 7) (e)
I hereby certify the above is tare,correct, Sonatas alAssessor Data signed(rnnrdt,dm:yea)
and complete.
Vatycg scum Sonora at AULSra Data Oiled(ma day lea)
sSTANDARD,DEDUCTION ALLOWANCE'..
20_pay 20 Lesser of 60%of the assessed vsue of the homestead or 445.001
NoMierbr#vg any other provision,the sum of the deductions provided in IC 6-1.1-12 to a mobile home $
that is not assessed as real property or to a manufactured home that is not assessed as real property may
in exceed one-hat(1/2)of the assessed vane of the mobile home ormamdacizn d home.
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Data skeet](maAdaxYeas)
7 n.12_r � ✓I-/O
DIS RIBU ION:Original-County AABo,Fee-Sapped Cam-Taxpayer
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