HomeMy WebLinkAboutHomestead_Schmitt CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
STANDARD/SUPPLEMENTAL DEDUCTION FORM
Cal Sias Fan 5473 1T(R 1-1010'%
Prescribed by Ce Department or tool Government Few=
INSTRUCTIONS:See reverse side twang instructions. •
NOTE Telephone,Sodal Security duvets license,stain itlenfigaspn and federal idayfcap'on numbers are conEdential under IC 6-1.1-12-37.
- •—CERTIFICATION STATEMENT .11 ■
I Me) I • �t1 ► • r • .- A that I(we)occupied as my(our)principal
place of residence or am !}j.)buying the following desatbed real property under contra.for which a Homestead Property Tax Standard
Deduction is hereby claimed on the date this application is signed, (dale of signora). I(We):
❑ Own ❑ Am(are)buying tinder recorded conbacl
❑ Am(are) entitled to occopy 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.
_
- ),) -
Carey Township Taring astral(atY,awn.faership)
- - _ • 103 ar : 18" 302. '
Patel realer Lege nesa@a, Is the prcperty N qwLiwr
Milled probers) ❑Annually assessed meshes tine(1C 61.1-7)
It any palm Uthe restlaijd shale ce ae laid na exceeSSe one(I)eau Mat impeders)reminds MO sin ed used m produce lane,describe ee use and paned
d ae Ropey maimed to prods Fume
r' _7 .._:j'ROPERWOWAED ELSESIHER Ebel AIrvi P.NT
Art _ _ Is da❑ Yes�eSteaC+
gip
I i
ASSESSOR USE ONLY _ - ASSESSED VALUE 17 HOMESTEAD VALUE' I NON-RESIDE VTIAL '
d'-' (1) �IIO_t.al
Other land (2) r,3-4-1), err/
•
iii •• •
Total land(line 1 plus line 2) (3)
Residential improvement;or Dwelling (4)
annually assessed mobile I
manufactured home Osage (5) w
( t e - -
Other improvements (6)
Total improvements(Ibis•through line 6) (7)
Total value (line 3 pea line 7) (8)
I hereby certify the above is true,correct, Sigaoee o Assessor Data sawed(month day,yea)
and complete.
cvett 4g ate-Signal re UAUdea Data signed(month.daa Yyeaan
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; __?'1?§r`.asL.$T$`.. ;ba? -. ,._. STANDARD DEDUCTION ALLOWANCE
20 pay 20 Lesser of 60%of the assessed value of the homestead or{45.000.
Notrilhat ncrog any other prevision,the sun of the deductions provided N IC 6-1.1-121 a mobile home $
that is not assessed as reel property or In a manufactured home that is not assessed as real property may
rot exceed one-hall OM of the assessed value of the nrobde home or manufactured home.
a5ni®UTION:Qigval-Casey Auditor.IiSIanws Caps)-Taxpayer
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