Mobile Home_Marshall i
�. CLAIM FOR HOMESTEAD PROPERTY TAX
9. ii! -? STANDARD 1 SUPPLEMENTAL DEDUCTION tTI \ ji,y.:. .- ` Stte Fonn 6-09
•s 1 Prescribed by the Department of Local Government Finance (-7
INSTRUCTIONS:See reverse side for filing instmotions. FEB
9 2010
_ -.: CERTIFICATION STATEMENT'. 1�1�
I(We) /Mr 0"...t. / e / / certify that I(we).••+/: • atr)principal •
place of residence or am(are)buying the flowing described real property for which a Homestead Property Tax 0144i�55 `tif'b claimed
under contract on the date this application is filed, 4!NTY`A.0
�{ pp (date of filing): ♦1
INI�1 I(We)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 personal residence trust
. • CLAIMANT'S INFORMATION.
DESCRIPTION I -
liaTownship Taxi_1:[=tact(city,town,townshi. 6
P,ar9I numbe Legal desaiption Is the property in ques'•
r,q '= i % I I ❑Real property I Annually assessed mobile home(IC 6-1.1-7)
_ I�f[�iita�
If any portion of. e residential stnoNre or the land not exceeding one(1)acre that immediately surrounds that structure is u -•to• ••uce income,describe the use and portion
of the property udf¢/ed to produce income. //
1 dl. - Ahla - o5V -00 ,
• - _ . PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township County Township
I hereby certify the above statements are true,correct and complete. - n of claimant J/`n, a
I ••dre,ss(tut her and street,city tare,a • IP code)
d •1 / E ' , f,, IP LLE JAI 17 . 5
ASSESSOR USE ONLY I,TRUE TAX VALUE,I ASSESSED OF TTV I HOMESTEAD I NON-RESIDE VALUENTIAL '
Land not exceeding 1(one)acre immediately - 3y vt 1 ”
surrounding residential improvements. (1)
Other land (2) :iMild "v
Total land(line 1 plus line 2) (3) Y "
Dwelling (4) 2.-E t F fr L- i zle .4
Residential Improvements or Annually ker
Acsecced Mobile I Manufactured Home Garage
(0) .C:1& ?w`ri s �: -6
Other improvements (6) :i'-,.-..t--r.,_„"
Total Improvements(line 4 through line 6) (7)
Total value (line 3 pits line 7) (6)
I hereby certify the above is true,correct, Signature of Assessor Date signed(month,day,year)
and complete.
I Verifying action-Signature of Auditor \' \`J \15 \YS \\) Date signed(month,day,year)
L D\\
_ STANDARD DEDUCTION ALLOWANCE _-• .
20 pay 20 Lesser of 60%of the assessed value of the homestead or$45,000
Notwithstanding any other provision,the sum of the deductions provided in IC 6-1.1-12 to a mobile home Nat is $
not assessed es reel property or to a manufactured home that is not assessed as real property may not exceed
one-had(12)of the assessed value of the mobile home or manufactured home. Date signed(month,day,year)
Signature of Auditor