Homestead_Paul -Vt. CLAIM FOR HOMESTEAD PROPERTY TAX YEARicl.)
ea......i.e. STANDARD/SUPPLEMENTAL DEDUCTION FORM
Slate Fan 5473(Rill l-I5) HOW
Prrabed by the Oepeamra a Leal Government Faience
ROTE INSTRUCTIONS:See reverse stale forbfs'c nse, aLc .
NOTE Telephone,Soda!SeaallX driaeYs Fcrue,state alerlff5raSon and feskralitlPrpTraun reanbers are confidential under IC 61 7.
I Mne) \Y 1 s ZT t t_ -\-V� a_AA ` certifY that n(we)oca as meal DrinCIDFC
place of residence or am(are)buying the following desalunder bed real property contract for wt which a roperty iT�
Deduction is hereby claimed al the date this application is signed, (date of sgnature� le):
WC. 0 Am(are)buying under recorded contract m „fit O,SOR
0 Am(are) entitled to occupy as a tenant-stockholder of a cooperative housing corporation. ' 'rii • ( 10•
❑ Have a beneficial interest in the trust or the right to occupy
the property under the terms of a gratified personal -- f n Nc.
❑ Am(are)the shareholder, partner,or member of the entity that owns the property. N C
It:Myna onaaetr,Fee Stride comers name
Re:flee oeco wore atad b recorded Read ntimter Page
__ PROPERTY DESCRIPTfON - ,
Cast townsfla y C/�1 TPhy Taxes) • (Symms,
T`-c—fi(
Th
Pa¢Incar Legal descteon le r,:�.� _//d I ge ry ra=
W'RCPcerry ❑Aamay assessed noble tame QC 6-1.1-7)
It any portal a the residential smmure or Ile Land M emedre one(1)sae tat irrirneSktely gammas tat Stare is t to pmosO tram.AffiSbe 4r use at portion
of the popsy tared b pods intone
a-\a-off _ Lk T coLA c .- 1- -C ,
- -•, . - . - • PROPERTY OWNED ELSEWHERE BY CI.AIA'ANT•. . ,. . ...-
Ste,Carey.and Township Is claimant vacating a homestead?
0 Yes ❑ No
Sgaeea
I hereby certify the above Statements are Maine,cored and complete. � �7
Addna a wta(ramthranl sheet city.sae.and ZD'm>de) a.amke �(amae ed r�,ram.and ZIDwde)
337 ', eco e ► . i.' , Ze$17_�, t s
ASSESSOR USE ONLY - .,) ;ASSESSED VALUE.•::i HOE+.ESTE DVALUE_- - NOUJ,RgLIUENTIAL_ ,
Land not exceeding one(t)era Immediately - - -▪: ;•i4 ,r surround-mg residential improvements (1) ``}T Yr;�_.'_y 3 ''v -
_Y Other land (2) _:- - '-.V.: -: r
Total land(lire 1 plus hoe 2) (3)
lrl.TResidential Max ovred nes or Dwelling (4) ` " >:
annually mobile l .,.. r :.
manufactured home Garage (5) &- • r-" ..,- -;.`-:
xf-
Other improvements (6) ',Ir?-o,,,,-, r._ .,2,r2
Total improvements(line 4 through line e) (7)
Total value (Ile 3 per line 7) 03)
I hereby certify the above is true,correct, S ofAssessor Des died(a
and complete. (/
Verifying max) Swayzea-Sae hda Date Steed(mwaA
t ,
- - - ,z-' - - 'v STANDARD DEOUCTIOIJ ALLOIYAIJCE' - � ,
20 pay 20 Lesser of 60%of the assessed vdue of the homestead or 645.000. 1
NoMehstancang any other provision,the sum a the deductions provided inIC 5-1.1-12 to a mobile home $ dyes 0'J
0 that t assessed es real property or a manufactured home that is not assessed as teal property may IV
not exceedone-ha cif the assessed vase of the=Lege hone ormanudactured home. Cn .
is no o
of Anchor ors dryad(cart
'7o
06a TRni10N:Child-Casty As Fmsan+p.d Copy-TaWaYer /Q
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