HomeMy WebLinkAboutHomestead_Schmitt E' ' STANDARD/SUPPLEMENTAL ED CTI N FORM YEAR
Stab Fam 5473 0317 f1-16) HC10
wesaaae by the Depedrraat�Lore Gu,seaIY1o(e�a Franca
INSTRUCTIONS See reverse side for55ng asbuctiorrs111Lr
NOTE Telephone,Soda/Stour*divers&ens.,stale i a n5rabon and federal itrlddcabon numbers are ceml*ntiai under IC 61.1-1237.
® I(We) cwfiy that I(we)
place of residence or am(are)buying the following desrnbed real property under contract for which (152,:t
Deduction is hereby claimed on the date this application is signed, (date of -
❑ Own. ❑ Am(we)buying under recorded contract
❑ Am(are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation. NO V 2 1 2017
❑ Have a beneficial interest in the trust a-the right to owipy 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.
- ' -
Canp Tovmlio ....... ., .. . . ...
at/
Pam number Legs,asssagmr 'I / r Isar praputy n rmsawa
/ / 9 47 / /.9 {e ❑Realiatgab 1)Knuallyessessed o tAehons(IC6-1.1-i)
If any pawn of the redden:ial aware or an bred not a ceedmo sir 111 sue tat bimodal?snwr/s that Mania used M Isolate acme desert.To use aid patai
® d to property taxed to produce boom
_ - -, 0 •_ • dc,-18 -33-too-00a fa -W1
. 1'. a_.:-,.- rsi6f- _ P,ftOPERTSOWNED ELSEWHERE BY.CLFIMNT S:r-..`
State,Camay,reed Totmship Is claimant vacating a homestead?
❑ Yes 0 No
I hereby certify the above statements are true,coned,and complete. /s ca.. P _ _ _ _�,,(� )
Address at woed(mm�drmrf street d'c stall,SmdZiPcort.) - d farad lam, ere(nmderarbsbwO cYY.sate,and ZFPatd)
K. ' 7 S So 4 I, ■r 1-N 'net
� .d •ASSESSOR USE ONLY V . 1 'ASSESSED VALUE ycl HOMESTEAD VALUe h ) NO" VALIUENTIAC•
Land not exceeding one i(1)acre immediately a ist ,
surtoun?mg residential improvements (1) ?�tis, �}..:
'
i
Other land (2) 42,43.e-' K'vcv,. ro. 0,.,:::,i
Total land(gnat plus taro 2) (3)
Residential Improvements or Dwelling (4) illt-.., ±T'giklt2tirl?"--24V11 annually assessed mobile 1
x +-n w_....
manufactured home Garage (5) 'a s r '
v .:, g5 Other improvements (6) ,217,..,,zl,atCtiit-.: .-...<
Total improvements(fine 4 through line 6) (7)
Total value(Roe 3 phis line 7) (8)
I hereby certify the above is true,coact, Spvaee of Assessor Data°fired(moth,my,Yen/
and complete. (� (�
Vea)ig amcn-6NSare d Auc'Lr \I 1 `( t oats si,ml(=WI,Os%Year)
-_,+iL -_,-,,,, .. ,cu. ( _ r \ . ,V. -?STAUDARD,DEDUCTION ALLOWANCE_1;Way s , ,v. -r - _.? .i
20_pay 20 Lasser of 60%of the assessed value of the homestead or$45,000.
®
NoNehsian*rg any other provision,the sun of the deductions provided In IC 64.1-12 to a mobile home - $
that is not assessed as real properly or to a manufactured home that is not assessed as real property may
not exceed one-hal(t/2)of the assessed value of the mobile home or manufactured home.
i Spmsedoadar ,,(( Data signed dry,Year)
DISTRIBUTION Original-County AUHar//
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