HomeMy WebLinkAboutHomestead_Yenne CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
4 t STANDARD/SUPPLEMENTAL DEDUCTION FORM
Sale Fenn 5479(R17/1-16) HC10
Presentee by the OWame td lag Government France
INSTRUCTIONS:See'arena side bribng insbe$ont
NOTE Telephone,Sodal Sap'dry;tiveta ioense..sta:e idyrdrecalionand fetalitridlrathn marten are can5den5e1 under IC 61.1-12-37. /•
-
. CERTIFICATION STATEMENT -I(We) •eGTc ( e l�(�C v certify
i
•" \ W�-1� certify that 1(We)OCGII(ped asmy(our)principal
i
place of residence or am(are)buying the following described real = - under contract for wllidi a Homestead Pr
operty Tax
,D�adu/•�gY is hereby dalRled al the date this application is signed, (dateW signature).). I(We)):: "Y �
54)vm. 0 Am(are)buying under recorded contract ' 20/8
❑ Am(are) entitled to occupy as a tenant-stockholder of a cooperative housing corporation. dyas , '
❑ Have a beneficial interest in the trust or the right to occupy the properly under the terms of a qualified personal �.:•-••• .-
❑ Am(are) the shareholder, partner,or member of the entity that wens the property. 1UNr• A,/
•
If betty en cvpap,Fee Simple waters name
Reorders oSos Mere Canal is n iNded Record axaher Pape
•- - • PROPERTY,DESCRIPTIOY •71
Canty T Taxing Camp(ay,mart township)
l—s bsOn F Y-o ne-Asac>
PaQJ rsnea legal aaso.ton Lsh eeptcper in question
Ly'Red pnyety ❑Aimaly assessed mode tome(IC 6-1.1-1)
It any peace a the shingle or to lad nee emedng an(1)acre that immediacy wands Nat mnmxe is used b produce income,dasalba the use and gating
d tM property 1.eted b Prola income.
- 001) .1 CIS-OC`S
- PROPERTYOwNEDELSEWHERE BYCLAIMANT�`c- -; =c .
Sda,Cant.and Township Is claimant vaa>utp ghRt ead?
❑ Yes "V
I hereby minify the above statements are true,erect and complete. J/�(/ as
mess a wnat outwaast stet.�:sae.end ZlPcaie) J(Zlnd5 Ca �11myimnarond.�she t,city,.ate.and NO cede)
r � S & 4:14' •
ASSESSOR USE ONLY _J ASSESSED VAUE ;-I HOMESTEAD VALUE-. -NON-RESIDENTIAL `1T
.VALUE--
. . L . . ..
Land not exceeding one(1)acre immediately (1)
surrounding residential improvement (1)Other land (2)
Total land(lino I plus line 2) (3)
Residential improvements or Dwelling (4)
annually assessed mobile I ) -t .
manufactured home Garage s h
Other improvements (6)
Total Improvements(yore 4 through line 5) (7)
Toth value Ulna 3 pros She 7) (6)
I hereby certify the above is tee,correct, Sgataa dAsseawr Des signed(natty gals)ee)
and complete.
Wayne action-Signature oAhdbr Date bums(mares day.year)
_ _ STANDARD-DEDUCTION ALLOWANCE n -20 pay 20 Lesser of 60%of the assessed vdue of the homestead or 545,000.
NotMdntrfl g any other provision,the sum or the deductions provided in IC 6-1.1-12 to a mobile home S
that is not assessed as real property or to a manufactured home that is not assessed as real property may
rot exceed one-hal(12)of the a value cithe moth home manufactured home.
Sipco writ' Date stood('mxA day,lean
h t \C):JF,c�
DISTRIBUTION:Original-CamyA dear,Re-Stewed Copy-Taxpayer
Page 1 at 2