HomeMy WebLinkAboutHomestead_Satterfield CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
.1 c STANDARD/SUPPLEMENTAL DEDUCTION FORM
Sra• Fon 5473 gall/Na) HCIO
Prescribed by the Department of to Govan n Amerce
INSTRUCI7ONS:See meelse side baling itWlcban
NOTE Telephone,Social Seaadx driver's license,state IdeverTicabon and fader-el i n numbers are....,...•;ir 6- - -3
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CERTIFICATION STATEMENT
• I(We) _ e i . i L.e _rte—. =. certify A ( -t a - ... i '. . -._ .
Place of residence or am(are)buying the .i. ' i described real pre.-I under contract for which a Homestead Property Tax Standard
Deduction is hereby claimed on the date this application is signed, fd ( nagrU g(We):
❑ Own ❑ Am(are)buying under recorded contract
❑ Am(are) entitled to owrpy as a tenant-stockholder of a cooperative housing corporation. /L
❑ Have a beneficial interest in the test or the dgm to occupy the property under the terms of a pp31 Edi ' ce thist
❑ Am(are)the shareholder, partner,or member of the entity that owns the property.
m
Coot/ Township Tmip (rAa%"'�r/
Pats rrmma tagaldaalpa) 7• y yS Is the property in questat
SFNE 3r'-/- Jo I ❑Redpoperlr ❑Ansa%assessed mobile home(IC 6.1.1
If any paean d the residential sinfln or the laid not eamdmg wet papa Max immediately snnna that smaureis used to apace hfoome,describe the use and pater)
den panty mama to produce imas
a0 -05 - 3r' - ‘2.0 o _ opst .5 „Lc). _ od -2
".; .nXv ' - a . .0ROPERT}7gwN
EDELBETHEREBY,CLAIhANT•a y •:v**4flig' •:ie:T'z.��j,''y
Sam.Cony,and Twostip Is claimant vacating a homestead?
❑ Yes ❑ No
Sgaue or dannat
I hereby codify the above stet smer sae true,correct,and complete. •
Address dmtact(ranter and shot sly,gate.and Boost) Address of noted pans 4 a any Vaa+bleenesbed•oiy.sr,and Wood)
• tiRVANYTIAL-.( ,-..
.ASSESSOR USE ONLY _ _ ( ASSESSED VALUE,.- 4061ESTEAD VALUE �,.I1Xy
Land not exceeding one(I)acre immediately :F? --
surrounding residential improvements (1) 4t_s +.a D ty,_:;T
Other land (2) 3sE-...w-.-.,_:7:at-At•r))i
Total land(line 1 plus line a (3)
• Residential Improvements or Dwelling (4) ±:: -sz °^- '
annuafly assessed mobile l ; s-._--. r - . ?er#
manufactured home Garage (S) v'.'
c . :7c-re`-eitt7114•r
e WrtSOther improvements (6) s t': Y d
Total improvements(Ise 4 through fine 6) in
. Total value (line 3 plus line 7) (a)
I hereby certify the above is true,correct, Sgns�of Assessor Date sired(nmrCS thy yeah
and complete.
Vaaytg action-Synabae dAUebr Data signed(nnral4 day.Yea)
-
-y`_ 7,...:".-....-...x..- "dr_-C.„STANDARD.DEDUCTIO:d'ALLOI^/ANCE-%. _ «.,:a?-4'f --`-sti n v-,
20_pay 20 Lesser of 60%of the assessed value of the homestead or$45.000.
NrtuithsbMfag any other provision,the sum of the deductions provided in IC 6.1.1-12 to a mobile home f
Mans not assessed as real property or to a manufactured home that is not assessed as teal property may
not exceed ore-ha!(t/Z)S the assessed web.of the mobile home or mamdaclwsd hone.
Sign:aredkrdbr / Dea signed(ant,day,Year)
otem®UTION:Odp'vol-CaaeyA ffi.IaeSm,�p.d Copy-Te nano
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