HomeMy WebLinkAboutHomestead_Kinkade (2) e�f.' STANDARD/SUPPLEMENTAL PROPERTY
EDUCTION FORM YEAR
..-"r3 CLAIM FOR HOMESTEAD r-"+a�AU Sr Form S473Qi1T 11-16) 14010
'ilirn rr Prescribe:Mara Delmafaa at tool Gwanom4 Fine
INSTRUCTIONS:See reverse side for Pang nstrucfons
NOTE'Telephone,Social Seaat%driver's tense,state klenffEcarion and federal io n numbers are confidential under IC 6-1.1-12-37.
CERTIFICATION STATEMENT - �
I(We) a — / - P�raTo Q rertdY •that I(we)ow1.t,.1�J�n!Ii 'e1
place of residence a am(are)buying the forming descried real property under contact S which a Homestead -ti:•- ; ax ....
Deduction is hereby claimed on the date this application is signed, (date of signature). I(We):
❑ own ❑ Am(are)buying under recorded contract. APR 2 0 2C 18
❑ 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 occupy the property under the terms of a qualtied personal residence
❑ Am(are)the sha eholder, partner,or member of the entity that owns the property.
UDITOR
Pail motet lead descry:al !7=(/Is arnp��a'
Popery ❑Amaaay assessed noble tone(IC 6-1.1-7)
a any Portion ate raspentd mumae or ea land nd emw6ze ore(1)an Mat immalaSlysurname fit structure Is used to pieta vase arcane orb use and poems
at ee Poverty mend to pmts Varna
2/—iZ — o7 - y0 / - w/ 990 02 8'
? -I-','..: _ . -. .._ Chili: RTY,,OWNEDELSEWNERE,BYC77kirrai rA7 • :c.:t "' '"'?' -in:
Ste,Casey,,aid Township
Is claimant vacating a homestead?
❑ Yes ❑ No
Seagate of dabnat
I hereby certify the above statements are true,correct and complete. .,‘" .
A ns a d(nrmdbatl ....ab.•e . .ZtPOad+m) Aridness almated homestead,as y(nutherandame4 My,state,atW7Poale)
7. /4 •� •- : / 919' S , ,ern S%A c io _ v17C7b
_:',.1.4:-. ,ASSESSOR USE ONLY tv - ASSESSED VALUE:... ; HOMESTEAD VALUE ::'. NOt.'-RESIDENTIAL„ Li
VALUE
Land notexceeding one(Dave Immediately . -'.� 219 _k
sunountrmg residemlel improvements 0) :1-r/. - .cax _ ..
s = ' � �_Oder land (2) (- . h -• _
Total land(line 1 plus line 2) (3)
Residential Improvements or Dwelling (4) i- t 5 _
annually assessed mobile/ '-`
manufactured home Garage (5) a s �..
Other improvements (6) '_p'w>,L- t?-',;-�C.'-�.4_=
Totei improvements(line 4 through line 6) (7)
Total value dine 3 plus line 7) (B)
I hereby certify the above is true,correct, Siaabre°Assessor Dag amen(rsaxlt m%yea)
and complete. tf �f''�
VPayValenti aeon-Signature of Audhkr •- oats 'D
2D pay 20 leaser dfi0%of the assessed value of the homestead or$45,000. APR 2 0 2018
Notathstandve any otherproviion,the sum of the deductions prodded in IC 6-1.1-12 to a meMe home $
that not assessed as real popery or to a manufactured home that is not assessed as real property may
not acted one-hal(1/t)of the assessed vaaae of the smote home or nanufacanM hone.
Scpaltre tlgned(m r
OR` ` BL� C�NTY AU)IT
e7v � 1-41
■DISTRIBUTION:Original•CaaAu:Dm Re-Stamped Ccpy--Taxpayer
Page 1 of 2