Homestead_Cochran (2) - -.. CLAIM FOR HOMESTEAD'PROPERTY TAX -yEgg.
Fe ;e STANDARD/SUPPLEMENTAL DEDUCTION FORM
SateFum5a73(R1711-16) HC10
-Prescribed yee['manu l of Lod Geamen Fimce
INSTRUCTIONS:See reverse side for Peg nstuctons
NOTE Telephone,Social Security.driver's icense,stale ider,f5ca5on and federalidIIaCaffon numbers.are wiitcle trial smiler lc 61.1-12-37.
CERTIFICATION STATEMENT -
I(We)- Lamely that I(we)cent' .ywI t
place of reside or the following desamea real piUP�,r, _,mtrad for which a Horn-, P -f-•Y fit"`;_�.. .
Deduction is hereby claimed on the date this application is signed, • (date of signature). I(We):
❑ Own o Am(are)buying under recorded contract NOV 1 3 2018
❑ 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 avupy the property under the terns of a glrafrfied residence bust
0 Am(are)the sharehoNer, partner,or member of the entity that arcs the property- /
'
- -
eag on cocoa*Fee Simple cam nam
e me _ . . - .
Remrtns oea'Aare centred is recorded Read number Page
PROPERTY DESCRIPTION - - -- . ... - - _ -.,
.:.. bsnsfl'- ` Taafia jigi�rtogy,tt .rt to.�a-ll ))
•
Parcel ranter legal descrifeon la e ge
Pr
e property in ese=
4l. 5 / / �I.ireadF4rary 0 NveaMaseaMcob2eham(IC 6-1.1-?)
If any poem orate restlerial smmxe or me land not scee:F g are(1)acre Pat enneizdy ten ends that mare is used to proase Income descries the tee an portion
d the property raced b prodcebxama,
-rkerrirt a4, - /. - o7 - /a3 - ooD . lee - o .2_ 9
., >;3 PROPERTKOWNED ELSEWHERE BYCLAIMANT;'_ .-,_.iA•TY : v.i ..t ° I....re:.
SSa,Cain y ad Tom ship Is claimant vacating a homestead?
❑ Yes ❑ No
•
aired I hereby certify the above statements are true,cert ecf,and complete. / iv—
�(
s M �rw
V Address of=Mot(rwrMSW sheet city.�' w ed a.Ind ZIP - - - al azYnest ai,ifany(number end Meer, s'C:, ,and ZIP axe)
$O Gt./ y?/'oare,-.4}
.s e 1 rASSESSOR USE ONLY i'rslt- ASSESSED VALUE- A: r r HonESTEADYVALUE 'NON RESIDENTIAL-A!,.
Land not exceeding one(1)acre immediately • - sF._`=' '- -,Z .� -
surroundngresidentialenprovemenis (1) e, _ill •t"
s,-SY_��i'r�i�fr,
Omer land (2) `w2,--..t=-fir-.,
Total land(line 1 plus line 2) (3)
Residential ssed improvementsmobile
or Dwelfinp (4) ' 4 .y r' - ,-_
annually assessed mobile
manufactured home Garage
Other.improvements (6) ;at -
t }- f.F
Total improvements(line 4 through line 6) (7)
Total value Dine 3 pits fine 7) (a)
I hereby certify the above is true,correct, 1e otAssesses Ora signed(nnt%doh yea)
and complete.
Vedyag action-Sigitilfe aAelbt Data signed(rase daY.lead
.••-+- ._ ,. :-IV. _ x . ;STANDARD DEDUCTIONALLOWANCE t..- i. iLI iild fata7.7,72:1,
20 pay 20 Lesser of 60%of the assessed vane of the homestead or$45.000.
Abhti:hstandug any other provision,the sum of the dedr,Cions provided in tC 61.1-12 toe mobile home $
that is not assessed as real property or toe manufactured home that is not assessed as real properly may
not extant me-haY(1/2)of the assessed value of t'hee imbile/ Fri/hoomee or manufactured
maand aacturred home.
airmen radar it V - __ `� -•. / _ s-� Data taped(rxrt.X Cad year)
DISTRIBUTION:Od dd erel-CoadyAua,Re-Stamped Copy-Ta�ayer G
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