HomeMy WebLinkAboutHomestead_Paul (2) ,fi..., CLAIM FOR HOMESTEAD PROPERTY TAX -- FORMYEAR
F ��.,i..- STANDARD/SUPPLEMENTAL DEDUCTION
Sin Fran 5473(R,T/1-16) HOW
Premised try me Department of Loral Goverment Frame
INSTRUCTIONS:See memo side tor Ong insmldio,n
NOTE:Telephone,Social Sealdtx dicers icense,stale iderr65m9m and federal ldvtIDralm numbers are cortderltrel under IC 6-1.1-12-37.
I(Nte) I 1 1 G certify that I(we)occupied as my(our)principal
place of residence or am(are)buying the fogowing described real property under contract for which a Homestead Property Tax Standard
union is hereby claimed on the date fits appfra0on is signed. (date of signature). I(We):
Own. 0 Arm(are)buying under recorded contract
Am(are) entitled to occupyas a tenant-stockholder of a cooperative housing corporation
❑ Have a beneficial interest in the trust or the right to omipy the property under the terms or a qualified personal residence trust
❑ Am(are)the shareholder, partner,or member of the entity that owns the property.
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e twee mantra*Fee Sects surfs ante -)•/g���/
Recorder's oboe ahem contract a recorded j D jOR
�7 ":Y P
- ° //'ii,. •` _ _ PROPERTY OESCRIPT109 -.
bso� TawnNp Tamp datrid(ofY.ion, -.�.
Panel 'legal and Is Me papery In modem
❑Res Peapaty 0 Avery assessed noble trio(IC 6-1.1-I)
It any paten ci the resmtal snare a the end not eseeta me(1)acre eat innately anotam that suture is used to produce income desa0e ea We and portico
ci the prpeey cased b poly imam.
z6 - 12- I& - 201 - ool . 607 -12 .
_ - - PROPERTY OWNED ELSEWHERE BY CLAIMANT .. .- . ,:. _.
Sam,4Ya)ty ad T Ian(vg a homestead?
yyye( —1 r 1 LI 1 • d11/�1 Yes No
)
1 hereby certify the above �/statements are true.correct and complete e11.cle. H V 1✓
Amen at correct(renter and meet dy.Sr.and IIpmct) Addend mat estestead.any(nutter re sees[ors sib,end nP code)
\IZ _ _I. rJtM- Sr .
- ASSESSOR USE ONLY ' f�' - i -' _ "'� I' sr+"i -eV u -''.NONRESIDENTIAL, ."
Land not exceeding one(f)acre immediately (1) •°f'_'Q15i.Fnrx1-:2`te
surrounding resdentbi enpnnemenb ..-
Other land (2) -- I.i'`=- .- _ ,
Total and(lime 1 plus line 2) (3)
+l 41> v Residential improvements or Dwelling (4)
annuallyassessed mobile/ s q� +n}
manufactured home Garage (5) . h3`v=‘,..^i.i'ic +C:.:
Other improvements (6) �` t a .Act
Total improvements(life 4 through line 6) (7)
Total value (fine 3 pea One 1) (8)
I hereby certify the above is true.correct, S�yeeae oiAssessa Date signed(radA tax lea)
end complete.
Varying action-SWuere c(Aute Dale aimed(mat dM.reed
%c - _ STANDARDDEDUCTIONALLOWANCE _r _ e 20 pay 20 Lesser of BM of the assessed value of the homestead Or S45,000. .
NOMtlsta ceng any other provision,me sum or to deductions provided in IC 6-1.1-12 to a mobile home S that is not assessed es real property or to a manufactured home that is not assessed as real properly may
rot exceed one-ha(f/22 of the assessed value of the nodde home.
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DISTRIBUTION:Odgied-Canty Adder,FaaSanped Copy-Taxpayer
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