Homestead_Watkins (4) s'sj CLAIM FOR HOMESTEAD PROPERTY TAX -- YEAR
ems STANDARD/SUPPLEMENTAL DEDUCTION Fay
r�-::3�' Seta Faro sg3(Rn(t-t6) HOW i9/c1 a
!� Presentee by are Department or Local Goverment Foam
INSTRUCTIONS:See reverse side for Ong bsbuc5ms.
NOTE Telephone,Soda[Samai)s divers terse,state idenffiCaSm and federalPleat:Skelton numbers axe mr54ntial under IC 6-1.1-12-37.
//���� CERTIFICATION STATEMENT �+ •
I(We) ;Ie ._e LnEr yt S+ • certify that l(we)as pied fr 11
asmy(our)•.WI,
• place of residence or am(are)buying the following desrnbed real property under contract for wtddl a Homestead Piopeity Tax - •_ •
Deduction is hereby daimed on the date this application is signed. (date of signature). I(We):
'POwn. ❑ Am(are)buying under recorded contract MAR 5 - 2018
❑ Am(are) entitled to occupy as a tenant-stockholder of a cooperative housing corporation
❑ Have a beneficial interest in the trust a the right to oavpy the property wider the terms of a qualified • •- ...residence i ..
El Am(are)the shareholder, partner, or member of the entity that owns the property. i ,. — -�✓
y. r
'-
seedy dstrid Copy,town,Welsh*
Ato- O6- ZO - 100 -cb3. 786 -0/
Patti amber legal descpen Is the property F master
20 -l- r• 2 • e -acPddy ❑Annuity assessed mot.hoe(sc 6-1.1-7)
N any pabn of the resident strumae or Na in eae[Q¢q a (II ace ea mmadaYy wane DM encore used b aalre etaIsdesate De see aid pram
d ere property raged b produce Mane .17 G'(/,P
illb :':"' .: 'i=' -i i'v "`sP,ROPERT,Y,OV✓NED ELSRVHERE.BY.CLAIAtAN1 '.- .%'W ' cri•_: -s&?" e
Sae,Cerny,aid Tranship Is raiment vacating a homestead?
0 Yes 0 No
I hereby certify the above statements are true,correct,and complete. ›C`, if —t
Address of read(eater eat sheet d4 e.and ZIP ace) __ __... n-...,
20 LIZ 6 350/� cgNC, t o Sri, ` '
-;ASSESSOR USE ONLY _ I ASSESSED VALUE`_„ Es HOMESTEAD VALUE _+,;I NON:RESIDENTIAL
VALUE_-
; u - -p Other land (2) x_ ,.rr..ei -.
Total land(line 1 plus fine (3)
e ' s {-:*-
Residential improvements or Dwelling (4) r - -_ r s .,-..�.: "mutually assessed mobile/ -t, -
y 6 n `
manufactured home Garage (6)
E
Other improvements (6) " <_cr_-: .: ,._. _ _
Total Improvements(line 4 through fine 6) (7) ---
Total value(line 3 ph s line 7) (8) ISIIII—. Al
and complete. Na above I,true,correct, ; ..., -3.�5) r(!f
Vat g moor-Sigare of Andee •-.-dyad(rx.Iadayr'
r Ofll•
e!_cm c rSTAt:DA RODEDUCTION ALEOWANCEr Za rni 11 _ _,{,
20_pay 20 Lesser of 60%of the assessed value of the homestead or$45,000. ///``` /
No)ntrstandi g any other provision,the sum of the deductions provided in IC 6-1.1-12 to a mobile home S ,!
that is not assessed as real property or to a manufactured home that is not assessed as real property may 0.A- r 1'
me exceed one-hat(Maths assessed value o the rmdrh home or manufactured home. -I11Sr10 CO'U'NTY AUDIT( R
Data Meted(watt,day,Yoe°
..41, • et APa- L -.11. a - I�- / 8
otstl®unoN:algal-Cart Audta,FbSmged Copy-Taxpayer
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