HomeMy WebLinkAboutHomestead_Luttrull ,mfr CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
STANDARD/SUPPLEMENTAL DEDUCTION
FORM
l' State Fart 5473(R1711-16) HC10
Prescribed A The Dewrmrar at load Goverment Fiaa.
INSTRUCTIONS:See merse side forfirii g 6utrv&au. g -p''�
NOTE:Telephone,Social Seauii)l ddlets heree,state delt65ca$on and federalktenliif<afim numbers are confidential under IC 6-1. 1 - ,'H I tl , �1
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1(We) , 1� A A )\'(� certify that I h occupied rlet as my(roe)mineral
place of residence or am(are)drying the folming described real property under contract for which a Homestead Pmpaty a9�I n18
is hereby darned on the date this application is signed, (date of signature). ?(V12}:
❑ 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 a the right to occupy the property under the terms of a qualified personal 41nbt I(
❑ Am(are)the shareholder, partner, or member of the entity that owns the property. GIBSON COUNTY AUDITOR
DESCRIPTION'
Twig district(ay,luau township)c7a 1 Dkct re__Towst,c�jso n
Is CIO inµ¢slicer
Real RWcity ❑Munafy assessed nicats home(C 6-1.1-i)
a wry pons,d the rddemd home.or ere land ma=seam one it)eve Thai Munedately sullaslds tat shyerse is used b pious.bane,de bate the tae yid%non
d the property rd&ed to produce&anne.
26--- 11 - 1y-- IO1 -00g - qs 2- 0229 .
" >s; . -4 PROPERTY,OWNEO(EECSEWHERE.BY,CI!MM,..,1i�s{. y-w_ - .,.p' "{uji
vile.Candy.and T ^ll — 1 C- 101 —o0.. -ls2 -02'T Is'O es O eaaRasteaa4
I hereby certify the above statements are true,erect and complete. l / y5�y .
Address d corded(reenter and meet.dty,.fee.and liPoob) Address haasstead.if ail limbered My,55e.and ZIP cad)
'"26 1 ' IA) CS to l) e •'ASSESSOR USE ONLY = _ ASSESSED VALUE HO11ESTE DVALUu s 'N.o RESIENTIAL ,
Land not exceeding one(I)acre Immediately ?-g- F Y ..il
stmounufatg residential improvements (1) ; L S F'4v5
t
Other land (2) ;;__-- ..- _.___4__-.,
Total land(line 1 plus line 2) (3)
Residential improvements or Dwelling (4) 1 -,, a&_q�E'
annually assessed mobile/ '.
"b
m
madrhred home Garage (5) ^. ? :.•'.c K. 't:^ !
Other Improvements (0) - ;
Total improvements(Ih e t through line 6) (7)
Total value (floe 3 On line 7) (6)
I hereby certify the above Is true,Correct,
Signature of Assessor Date signed(modq dale teal
and complete.
Vevy&g boon•Signature df.dbr Data Waled(math day,Peen
-- -'.x:, STANDARD,DEDUCTIONACLOIYANCE+� - _ . ..
20 pay 20 Lesser of 60%of the assessed vdue of the homestead or$45,000.
NoheMffindrg any other provision,the sum Of the deductions provided in IC 6-1.1-12 Co a mobile home $
that is not assessed as real property or to a manufactured home that is not assessed as real properly may
not exceed ore-hat(114 of the assessed value of the manufactured home.
Sundae d Date signed 5 , C S , � e z
DISTMESITiCet Cuphel-CosayMdaa,He-Stamped Copy-Taxpayer
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