HomeMy WebLinkAboutHomestead_Crouch V? ,_ CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
STANDARD(SUPPLEMENTAL DEDUCTION FORM
1` Stab Fam5.73(R17/Mfg HC10
Prescribed Of Vie Deportment el Local Comment Finance
INSTRUCTIONS:See femme side for firing 6nbucfau.
NOTE Telephone,Social Seardx driver's license,seats klenfifioffion and federal identicabon numbers am confidential under IC 6-1.1-12-37.
I(We) a certify that I(we)occupied as my(ow)principal
place of residence or am(are)buying the following desal'hed real property under contract for which a Homestead Property Tax Standard
Deduction is hereby claimed on the date this appecation is signed, (dale of signature). I(We):
❑ Own. ❑ Am(am)buying under recorded contract.
❑ An (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 qualified personal residence trust
❑ Am(are)the shareholder, partner,or member of the entity that owns the property.
- " _ -
maim TorSNP GIBSON GTE th,eratt)
Parcel cumber Legal swcriptan (Is the papety in flume=
❑Ra>d p tcaly ❑Anmaty assessed noble hoe(IC 6-11-i)
cam portal d be renewed enrage cc be laid not exasG'ere(1)acre Vat inane:they sumacs tut smirwre is used to proQ®soanq describe to use and cotton
el be ixoceny utr¢ed is endue intone.
a (D - w—I 1- 103 -003. 368-sag
,. ..,.. -"'r :??ROPERTY-0INNED.EL5EIYHEREeY.CLAti^NT es_
Sam.Coply,aid Toms,* Is claimant vacating a homestead?
❑ Yea ❑ No
Sipearert '
I hereby certify the above stag are true,cerrect and complete. (�� �^e: .. -I2_•
Addsdca�bd(aml6rard exec aTl:-^.. •ZLPm4) d vacated hee%ead.deny(number end steer.ray.data,aid Z/Pmde)
,ASSESSOR USE ONLY ASSESSED VALUE- HO::RESIOENTiAL.- '
I l HOMESTEAD VALUE' .°_� -VALUE i
Land not exceeding one(1)acre Immediately x ti 'r= r �-
surtoundmg residential bprowments (I) r x- 2' a i. -.
Otter land (2) t* 1 [ -}s N .
Total land(line 1 plus gore 21 (3)
Residential hnprovements or Uwelling (4) C f RAi annually assessed mobile I
-
manufactured home Garage (6) :7 r C',
1
3 'x
Older improvement (6) ,2;,a._, _:q_-cr?,
Total Improvements(rune 4 through line 6) (7)
Total value (lino 3 plus fine 7) (6)
I hereby certify the above b true,correct, Slpi&ae cfAssess r Data slgied(ant,tax lea)
and complete.
Vadyag action-Signalize oAsmr Data aced(mutt day,lea)
-
iy.rC` - - :^:` STANDARD,DEOUCTIONALLOWANCE.�.j; ,_. _!_-vai ;-r -.
20_pay 20 Lesser of 60%of the assessed vdue of the homestead or ti15,o00.
Nohe1W rice g any otherprovision,the sum of the dedudgns iYoid edIn IC 61.1 42 to a motile home $
that is not assessed as real property orb a:manufactured home that is not assessed as tealpreaady may
not exceed one-hall(1/q of the assessed value of the mobile home or manm'acht ed home.
Signature d ct.� n,� Ras 3 5
DISrcrafON:Or:geel-County Aialm,,Fie-Stanped Copy-Ta.Teye
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