Homestead_Conder (3) ^ CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
�t a STANDARD/SUPPLEMENTAL DEDUCTION FORM
S2b Form 5lth pteprtmen HOW ig 7r1
_.fl09t_fIH9q
Ptah Ford by the R17/1-vVarlad Goverment feel® 1
INSTRUCTIONS:See reverse side for fling i buc:ons
NOTE Telephone,Soda!Seaaifj dr*NS Imo* iderd5caton and federal ideirf&ca4 ,numbers am confidential under IC 6-1.t-12-37.
CERTIFICATION STATEMENT I 2018
Imo " ft,� • • .. - • certify that I(we)occupied as my(our)principal
place of residence or am(are) • ' •the following described real property er contract fa which a Homestead Property Tax
Deduction is hereby claimed on the date this application is signed, (date of signature). I l( - NJ-en,
❑ Own. ❑ Am(are)buying under recorded contract GIBBON COON' V AUDITOR
❑ Am (are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation.
❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified personal residence bust
❑ Am (are)the shareholder, partner,or member of the entity that owns the property.
• -
--
Cosa TPmsS Tarry&aid(My,awn,toersh'p).
I...Adam: m Nth)property in question
► b a a \4 44' (. `,"`
P4an - ❑Arnim!),assessed noble tone(/C 641-7)
If and portion a be remedial snore or ae lag ra emHtblp me(1)age estI mffi2Yy- • .-that amines b used to Worse Income drama to use and Paton
a Ca progeny tthzad b pmdm Yore.
n t'... � .` += .PROPERTVOViNEDELSE`NHERE'SY CLAIP.iANTS,F:z,ri:-tri-: ',^5�' '•,:_��e':1
Sin.Carty,and Tomato Is claimant vacating a homestead?
❑ Yes ❑ No
I
hereby certify the above statements are true,correct,and complete. i�
et,ba(awner ' steel.tilt:aft e.adEP ..,_.. .. n•....
- 431 Cu 4rtic_b t-t tarot
�' °ASSESSOR USE ONLY ASSESSED • •• HOMESTEAD rs- V ENO RESIDE TIAC,. :,,li
� ASSESS VALUE -�_i VALUE ....I VALUE N
e immediately - C '>
sunou residential MI••• (1) - x_ .S 31 ∎:
land I ti Y-
Other Total land(line 1 plus line 2) (3)
Residential improvements or Dvlefh-c (4) Ly -tom i1
annually assessed mobile I _
manufamured home Garage (5) -.i a.F s- = - Y .0=-,
Other improvements (6) r 2 s y- `�L .- 3:,
Total improvements(line 4 through line 6) (7)
Tod/value (fine 3 pha line 7) (9)
I hereby certify the above is true,correct. S'Ve6°e o Assessor Data signed Weigh day,year)
and complete.
VHEyelg WOW-Sc'ase of/wax
1
a E t
rte.'' "/ "-- STANDARD DEOUCT ALLONJANCErr:O .s^v-1 pP+ ET1iZ p.1. 7EV. :
20 pay 20 Lesser of 60%of the assessed vdue of the homestead or$45,000. .� l
NoiaifsWIGUg anyotherprovimoa the sum of the deductions provided M IC 6-1.1-12 to a noble home $ FEB 2 2 20H
that is not assessed as real property am a manufactured home that is not assessed as real property may
. not exceed one-hal(114 dine assessed vale of the mobile home ormanoracbned home. yy
oslwalnoN_Odrip'va-CPmyA ne-Sla pedccpy-Tapeya GIBBON COUNTY A DITOR
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