Homestead_Hinton ±r--, CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
4 v-i:, STANDARD!SUPPLEMENTAL DEDUCTION FORM
\I rV Salta Fat 5473(R1771-16) HC10
`� Resented by an Oepa4xmn a Lay Gosenraae Pearce
/NSTRUC77ONS:See reverse side forting iabucbos.
NOTE Telephone,Social Security driver's tense,state ider>66aban end federal adenine=mantas are conbderrtial r .1- -37.
I(We) A •11./A _Ii j • r - a certify that I(we)occupied as my(our)papal
place of residence or am(are)buying the following•—.bed real property under contract for whidl a Homestead Tax
Deduction is hereby claimed on the date this application is signed, (date of ' ).
❑ OWn. ❑ Am(am)buying under recorded contract
❑ Am(are) entitled to occupy as a tenant-stockholder of a cooperative housing corporation.
O Have a beneficial interest in the trust a the Fight to occupy the property under the terms of a qualified p l t
❑ Am(are)the shareholder, partner,or member of the entity that owns the property. GIBSON COUNTY AUDI—OR
Cart Teens Tape duet(ay fawn,turuHp)
Pace neither legal Fins I Is to properly in question
❑Rea pmeety ❑Meanly assessed mobile hone(IC 611 4)
II any portion a the residential gunge re ore laid not Ong are(1)age em*mete*swots*that strumm Is used to produce ism,describe the use and paion
at the pnpety raised to pods Kam
% —
Spire a daitat
I hereby certify the above statr?rrie is are true.correct and complete. �(-\s �`� L\\m .
Adores of mtad(ntterad street,city,state.and ZJPmb) t'11L4 . ,.._ a vacated y`J vfieasa.JJ J,_ifayy(pmberend men,WWy.acme,alZIPcode)
Li %oo •V( D(ZAsL ,
U•w': -.'aS5E5SOR USE OULV _ ASSESSED VVA LUE' � t HOE1E5TEAO VALUE - tI -NON-RESIDENTIAL..7_• '-
Land not exceeding one(1)acre Immediately .2- `. x _y suntoMam residential improvements ( ) _-`>_'cl
i Y
Omer land (2) 2v....... :c.,__, -.r
Total land(line 1 plus line 2) (3)
Residential Improvements or Dwelling (4) s a` ;il --'>!
annually assessed mobile I $- '
manufactured home Garage (5) 3 &n� '' a _-_-:1r
sent
Other improvements (6) _r'..M.—>'sa5�=:e•.-: ?'s
Total improvements(lam 4 through line 6) (7)
Total value (line 3 plus line 7) (8)
I hereby certify the above is true,correct,
Sigma*or Assessor Otto signed(nods my,Sal
and complete.
Vmhhng action-Senate of Auden Oats signed(nnah alai:lead
-
r _ -. _3_Cb .. ..STANDARDDEDUCTIONALLOWANCE _ - :it - :- ,�
20_Pay 20 Lesser of 60%of the assessed value of the homestead or$45,000.
NotaThstanding any other provision,the sum of the deductions ptovldee in IC 6-1.1-12 to a mobile horse $
that IS riot assessed as real popery or to a maadardaed home that is not assessed as nut property mar
not exceed
(1?)of the assessed vaare rmtde bona online/anted home.
Sot=Wild y dos ees
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asri®I1noN Via-CanyAss Re-Serped Copy-Tagaye
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