Homestead_Goedde CLAIM FOR HOMESTEAD PROPERTY TAX - FORE! -- YEAR
t,. �;^' STANDARD/SUPPLEMENTAL DEDUCTION
���'7� SmsEmnS,npi1TIl-16) HC10
F'malba'by ore Oepat. l of Local Goverment Franca
INSTRUCTIONS:See retese side for Env 4ubucivn
NOTE Telephone,Social Sects734 drivels tense,slate id'nfaca5on and ladrat ideM3ca( ,members are confidential under IC 61.1-12-37.
I(V ) O cenv5'that I(we)omlpied as my(our)principal
WaceC\ti�y )buying d the this forming tion is under contract tar wttirh a tblrestfsi n cure). Tax St:
s hereby claimed on the date gds appfratbn is sigrcd, (dale of signature). I(We):
❑ Am(are)buying under recorded contrail.
Am(are) entitled to occupy as a tenant-stockholder of a cooperative housing corporation.
❑ Rave a beneficial Rderest in the trust a the right to occupy the properly under the tends of a qualified personal residence trust.
❑ Am (are)the shareholder, partner,or member of the entity that owns the property.
maned
Std
Name d dattatY coaster/asthma)
ao,nite1 .
` -. Al '.G:�>a .L°- 2 S.n -. - ex: ,'-Lt,_'.CONTRACT-RECORDED °i} >i'/'c •� I ijr t.
e taring cocatal,Fee Snob acts tale 511?
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Recorder's once Were centred is recorded Rand renter Page
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A G i I Alf
(/^� - - r\ ._ PROPERTY DESCRIPTION - _ - - '- lI }
Cagy V s�� Toast, Twig data(�town �•/
• Is the nwestar GIBSON CO A!Tl' al)nl r0
Reaproperty ❑Annasasassed hone tnth-71777 H
II wry porran ol the modertal sausage ode land M exceeding and(1)acre Tor tmrci>t:y that structure is used to produce income,describe the use and portion
d to properly cared to ptotae taro.
2-20 - 03 -200— cod .314 -ool
1. :sue::a,. ,.7.:•.PROPERTY,OWNEOELSENHERE_BYCLAIhiCITC C 97. -
Sxe,Cary,ad TansIp Is claimant vacating a homestead? '..
❑ Yes ❑ No
adamant
I hereby certify the above statements are true,correct and complete. ai.
Address d masa(rawterat toss tty,erab,and 4 dsacabd homestead,a wry Waled, Yab,andWas)
1 II . �'l &.� A c. •\ J s
_ ASSESSOR USE ONLY V 'ASSESSED VALUE_- ,i r HOMESTEAD VALUE- =` UO...r. mE TIAL`-"
- _ °( - -i="VALUE : d--[_
.land not exceeding one(1)acre immediately (1) S t'2 �g =_
surrounding residential improvements
Other land (2)
Total land ulna 1 plus tine 2) (3)
Residential Improvements or Dwaine (4) a-1-:- ::::::-2--`.' -Y^�y=`-=_
amtufy assessed mobile l . ...
manufactured home Garage (S) s -
-.:r`-, _. 4
Other Improvements (6) _i a-';-:r. = -.-^:_:.' -
Total Improvements(rem 4 through line 6) (7)
Total value(line 3 putt Tam 7) (8) .
I hereby certify the above Is true,correct. S of Assessor Orb signed(rm't da:year)
and complete.
Vatlyag anon-Signature dktdmr Data sinned(matt day.teenns''�
•• . -•'s - -T'R - STANDARDDEDUCIION'ALLOVJA(JCE. - -;Kyt. `� '�.' rte}
20 pay 20 Lesser or 60%of the assessed vane of the homestead or$45,000.
Notwithstanding any other provision,the sum of the deductions provided in IC 6-1.1-12 to a noble ham S
that Is not assessed as real property or to a manufactured home teens not assessed as real properly may
not exceed one-hat(tt4 o1 the assessed value ol the mobile home.
Bred(mar*day,
SgutaedNtdmr S\VeMA Sl $ .k0 -I 6 .
-
061RSIIINN:Ocgtm-Casq A Wad,Fae&dryad Copy-Tepsye
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