Homestead_Littell .sf' `re' CLAIM FOR HOMESTEAD PROPERTY TAX FORM
YEAR
d a STANDARD/SUPPLEMENTAL DEDUCTION
‘°� �'-'.+, Staa Eon 5473(RnT/1-t6) HC10
1430, Presatbal by ere OepIDVnaa of Lord Government Faience
1NSTRUCITONS:See reverse side for flog vrstructons
NOTE:Telephone,Sodas Seam2X drivels(tense.state idendscafon and federal itiEtbcaS ,numbers are confidential under I - 3
• I(We) r• (Oval 1 t i certify that I(we)occupied as my(our)principal
place of residence or am(are)buying the following described real property under contract for which a homestead P ' ��l IT $ (
Deduction is hereby calmed en the date this application is signed, (data of sig� of L U I
W Own. ❑ Am(are)buying under recorded contract.
❑ Am(are)entitled to ac spy as a tenant-stockholder of a cooperative housing corporation. ei
❑ Have a beneficial i n t e r e s t in the trust or the right to occupy the p r o p e r t y u n d e r the terms of a qualified ._ . Istl. :,'1`.!l .e
❑ Am(are)the shareholder, partner,or member of the entity that owns the properly. GIBSON COUNTY AU JITOR
Naas a ctatrat(aged nano)
mSeomy=neraclamat(bateyas Wises amuse/aeti6raan d Cater number a aanan(aafiaedpYa) Issuing Sep,
Ian .
space lapel i Toe)
M tat°snit_ LA ti-c .
Some Stony ranter adaaats ramie( five teat) Orivees[
�a .-'K"si m—s_ w.aJ,.'-•,-.. s '-. -' CONTRA I-RECORDS S� ..e._. ' MT i-��''{'-4_'. ..
•a teeing m catered Fee` caters sane -
Re 's otYa Wane contract is recorded Record nutter Pape
• - PROPERTY DESCRIPTION'-
Casey Taastdp Tang della(cey,fora;towns*,
SohrUo n
Pail ranter lewd msobpor+ bill ratty npermc
Red
psee t ❑Arraary assessed mobs.lone(IC 6-1.1-1)
U say Parton see rastbCal marnn or the lag in exceedtg ere(1)awe met inmate:ay snosm that nature is used to promo Wows,deaame re use sad Paton
at the property tutted b podm Income.
2G — 23 - 1 G — 200 —002- = AI -o24 .
!a-7-7c-:-n.P.ROPERTY•OV,-rg5- LSENFIERE ETFa-c IhV+Ni- --rp ,. . .._ y , ...
Sxe.Casey,and To ishq Is claimant vacating a homestead?
❑ Yes ❑ No
Spneare of claimant
I hereby certify the above statements are true,erect,and complete. - Z`rl a 1 F `s(yi c ]J v ) I a --Y1 I
Adore.at maal(aSY.ra"1 strtet.0- and IIPal "/ Address or Touted t . .4 if any(number s#abed,etc alb.at ZIP ads)
X a- 2W _ Alt
r�T - •� NON RESIDENTIAL _'
_ .ASSESSOR i. 'JN'_Y ASSESSED VALUE-y I HOMESTEAD VALUE VALUE -I
land not exceeding one(t)acre immediately Sr-- } _...--..._ 4Y
sunoundmg residential improvements ( )
Other land (2) . ::cri-tvi.CC...--.c:::.-.-
Total land(him l plus line 2) (3)
Reseent)al improvements or I Dwelling (4) a.Yf;y
annually assessed noble/ I{
manufactured home Gaga (5) -iM r - '_
Other improvements (6) ,- ;�yN`� c
g;,s-
Total improvements(line 4 through lire 6) (7)
Total value (line 3 plus line T) (e)
I hereby certify the above b true,correct. SiVlaa°°ansys's°r `
and complete. I I L i
V d)g action Signature olAUdpa d a• laid •i, :• S,
` c: STANDARD DEDUCTION ALLOI'daWCE-' - I �I-il ;:'vr•.
'
20_pay 20 Lesser of 60%of the assessed value of the homestead or S45.000. ' �TJ\�
NatedhffiMvg any otherprodann the suns of the decoctions provided in IC 6-1.1-12 to a mobles horse $ iiitemicodir-
that is not assessed as real property we a nanadact red boned that is not assessed as teal property may
mt ex at(1/2)of ore assessed wake of the mobile ho or rnamdachred home.
Wean al tfF {dWroir4>bY iadnUDI TOR
DISiRIMMON:Ongina-Casey Ax ,,161e-ems ed Copy-licwayer
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