HomeMy WebLinkAboutHomestead_Powell (2) �� ^, CLAIM FOR HOMESTEAD PROPERTY TAX FORM
YEAR
p ..: STANDARD/SUPPLEMENTAL DEDUCTION
1 :34-• State Rea 54730317/1-16) HC70
�r_ j Presented by Departmental Load Government Rronte
INSTRUCTIONS:See reverse side for Ong auaucgons
NOTE:Telephone,Soda!Seaaiht driver's Farm,stab iien65ra5on and federal ider mason numbers are confidential under IC 6- -
l(We) Orin • certify that I(sire) ' as "-
place of residence or am(are)bldg the fothming described real property under contract for which a Homestead Property Tax Standard
Deduction is hereby claimed m the date this application is signed, (date of signatimM4YveJl 20 8
❑ Own. ❑ Am(are)buying under recorded contract
❑ Am(are) entitled to occupy as a tenant-stockholder of a cooperative housing corporation.
❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified personaF
❑ Am (are)the shareholder, partner,or member of the entity that owns the property. GIBBON COUNTY A DITOR
sNp Tang dsUid(thy my rmNp)
Pose'eater le le�s,s m,b
AS-//‘ RadmVay 0 Amaety assessed=tee hoe(IC 6-1.1-7)
II any area or to reaiden al Mare or ma lad cot exceedrg one(I)eta that immethatety samuxb and nature S used to
d the property lamb worn income
mace ilmne,dmmSe the use and rata
024-020 - d 7 - / oo -too. 5.36 -00 /
"...d .''" ::'Cac :.-7.JaMRROP.ERTY,OwNEO.ELSE:VHERE BY,CCAIMA NT," '•r. j-_ _; T?ralir
Stab,Casey.and Township Is claimant vacating a homestead?
❑ Yes ❑ No
claimant
I hereby certify the above statements are true,coaled,and complete. /q� ��/
gv dt.- I [ra1s�-
Addressofmtacl(mmrbraddreg!.d6:gate and Z/PmdN &rand hanesesec V any(mmtler end sae,ray sib and ZIP code)
X %.7/ 7 5r 85OE s lb ar/ _61 F• c23/ ,L //c ♦ �/7'/S
ASSESSOR USE ONLY s (• ASSESSED VALUE. <;I7. HOMESTEAD VALUE ; I tJON'RESIDEYTIAL
't "YALUE .y
Land not exceeding one(I)acre immediately c.3..- .ter-o-_ y^'V=}
sunormd g residential improvements (t
Other land - gr Aa..F�-sF'f�..i,`.
Total land(line 1 plus line 2) (3)
Residential improvements or Dwelling (4) 3 _,� A,
annually assessed mobile/
manufactured borne Garage (S)
Other improvements (6) y. >ntr)2,. f`; t.'-
Total improvements(line 4 through line 6) (T) -
Total value (line 3 plus fine 7) (6)
I(may certify the above is true,correct,
Signature of Assessor Date signed(rrrO;day,yea)
end complete.
Venting atria-Saran charts Data sigma Grath,day,year)
-tvii501172SkirbitretaWialaitaleaRiiiiteres STANDA RD DEOUCTIONIALLOIYANCE".r.""ltt4(,_ ...." `-'ate"=- set `y"i}fd
70 pay 20 Lesser of 60%of the assessed vane of the homestead or$45,000.
Notwlnstarei g any other prows'iorn,the sum of the deductions provided in IC 6-1.1-12 to a noble home $
that is not averred as real property orb a manufactured home that is not assessed as seal property may
not exceed one-half(1/f)of the assessed vats of the noble home or manufactured home.
9pwase /J//� Dtte dared(march.�Y,Yaa)
DISTR®lfnON:Crlpeel-CvatyAUS+orl/ ��i�FV
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