HomeMy WebLinkAboutHomestead_Wise , CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
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7 ` STANDARD/SUPPLEMENTAL DEDUCTION FORM
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Piro-bed by re OelmenaY rf Lead Oovartoert Fiance
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INSTRUCTIONS:See revenue side bar filing icsfruchoos.
NOTE Telephone, Seaage divers stare iderexasfon and federelidesMa:5w numbers are coraW+6al under IC 6-1.1-12-37.
I(We) • certify that I(we)occupied as my(our)s�fippal
place of a am(are)buying the following desoibed real property under contract for wtlidt a Homestead Property Tax Sy rd,
Deduction is hereby claimed on the date this application is signed, (date of-..r .
I , '
° I% ) O
Ovm. ❑ Am(are)buying under recorded contract. + - - �pI
Am(are) entitled to occupy as a tenant-stockholder of a cooperative housing corporation. C
O Pas
❑ Have a benefidat interest in the trust or the right to occupy the property under the terms of a qualified personal .. -.O:-.4...s. e
❑ Am(are)the shareholder, partner;or member of the entity that owns the property. F
flora on contrast.Fee Ssopb owners cane
ReAadris ogee Were cortex is recorded Read mantes Page
_ PROPERTYDESCRIPTIONc)
' / Wvir
e i� far . -it
..r.meer ere
�- y , /.�e� % awry..• w , assessed mode home(IC 61.1-7)
it�i d ere residend siumas a Me tap na reeamg are )are mat ..eta ewdue Is used to I more-rate the see and parer
d u,isedtopad>mKama J,3.7/
07�—7 7—i0 -06/ S /—222/
- . -=-;:r.-2.77--. „_`y FROPERT,Y,OWNED ELSEWHERE OECLAIPdAVT - :i 4Ey -"'�. - TP'
Sae.Casts and Toendp Is claimant vacating a homestead?
�¢+J �7❑ Yes ❑ No
I hereby certify the above statements are hue,wrtect and complete. �// !/ 4/
Amen al sorest me ad(anrdvatl d4.cafe.en ZIPOce) Address of vacatedd t d.a�a,y(number ware*cry.sr.and 7NPcods)
_ASSESSOR USE ONLY _' ASSESSED VALUE,;.' � HOMESTEAD VALUE:Kt `Hot YS IIVENTIAL;�' M
Lend not exceeding one(1)acre Immediately -
surrour lg residential improvements leis (1) /mauler's �_
Other land C2) ,, x
Total land(line 1 plus line 2) (3)
Residential Improvements or Dwelling (4) e.1 i a -
- ':
annually assessed mobile l
manufactured home Wag. (5) 4 3a -. t.
Other Improvements (6) -;,M,0.-t+,s. V-5.
Total Improvements(law 4 through line 6) (7)
Total value (line 3 plus line 7) (S)
I hereby certify the above is true,correct, S W Assessor Dab urea(nor*dal:Yew/
and complete.
Vegyng tenon-Signature ofNpbx Data sinned(rmah day,teen
20_pay 20 Lesser of 6016 of the assessed value of the homestead or$45.000.
Noteifsfandmg cry other provkbn,the sum of the derbxtions provided in IC let 1-12 to a amble home $
that is not assessed es real properly or to a manufadined home that is not assessed as real property may
not exceed one-hall(1I of the assessed vats of the moWe home orrtwwtactned home.
Slonaaa oAuder Data slued(rn0W,day,tea)
DLSTW I.MON:Odpma-CaseyAs a,Fle-Smnmed Copy-Taxpayer
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