Homestead_Ryser CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
e STANDARD/SUPPLEMENTAL DEDUCTION FORM
h Stab Fern 5473(11t7l 1-16) HOlD
Presorted by are Department of Loral Gwernmax Rome
INSTRUCTIONS:See reverse side Av tang instructions
NOTE Telephone,Social Seaait diver's lane,state idenekatron and hWeralidenhtailon nwnbers am ro�tlutal under IC 64.1-1
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I(We) certify that I(we)occupied as ) pal
place of residence a-am(are)buying the following described real properly under contract for which a Homestead Property Tax Standard •2
Deduction is hereby claimed on the date this application is signed, (date a Signature). I(wf(V 2 2018
❑ Own. 0 Am(are)buying under recorded contract .
❑ Am(am)entitled to occupy as a tenant-stockholder of a cooperative housing corporation.
❑ Have a beneficial interest in the bust a the right to occupy the property under the terms S a qualified personal residenra
❑ Am(are)the shareholder, partner,or member of the entity that owns the property. r
•SON COUNTY AUDITOR
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6 buying ac tact Fee Simp,leowner's name
Recorder's obis whee=tracts recorded Rend rumba Page
County - .- Twin;cestrid(My:faun me*mhip)1
Pats ruretar Legd dasvpim Is the question
eel Orgerty 0 Manly assessed anal*Mere(IC 6-1.1-7)
Harry porbn of die residential stamhe or be lad not eaeesty an(1)acre that Someday furaeds SW flfare is used to flute income,defa®e Me use at po ton
a rib popery tared to produce:cam
aLO -- \ \ —D — I0 ' tcSo3 . C \a" — Ca`l .
- '4 PROPERTY OWNEDEL5E5'MEREBYCCAIAIA NT .. - .,it-- - --;•-
State,Can.Y•and Township Is davnanl vacating
❑ Yes
I hereby certify the above statements am true,correct,and complete' %
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Address aweact(rumderamsew(ab.-•.. ad EA code) \ ...._.d __..%.ary(rxmrVa'Wstaw,crtJ:sits,aria ZlPade)
1 . \--I tit, Q 46 . r.w NA\ Y ••n _ • k-1 . 0
- ASSESSOR USE ONLY .i- .ASSESSED VALUE Y,_.Ic''"HOMMESTE D VALUE -.;Y.`--- RON-RESIDENTIALV>, ,-,
Lend not exceeding one(1)acre Immediately (1) T-s ' -
surraund'mg residential improvement ..
Other land (2) 1
Total land(line I plus line 2) (3)
•StResidential improvements or Dwelling (4) T Y3'b4.= `}
i
annually assessed mobile IF;Y v
manufactured home Garage (5) E.� .
Other improvements (5) 'a l:- -_a r~ ; .
—
Total Improvements(line 4 through line 6) in
Total value(line 3 pits line 7) (e)
I hereby certify the above is true,correct, Spa dMseua Des flied(one.day wan
and complete.
Vetying noon-Signature oAueex Cate said(one.car:Jaen)
-'v. . _ " 'Z -STANDARD DEOUCTIOIJ ALLOIYANCEt.} �,...,• G .-. _ � _.:-;, ;
20 Pay 20 Lesser of so%of the assessed value of the homestead or$45,000.
NoMithstanceng any other provision„the sum of the deductions provided in IC 6-1.1-12 to a mobile home $
that is not assessed as real property or to a manufactured home that is not assessed as mel property may
not exceed are-hal(la)of the assessed value tithe mobile home or manNdcfumd home.
Skittle
' Aufb Dabsant,((aan=My,yowl
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Mc- kk- Jp - 18
DISTRIBUTION:OrigDTal-Casty Audta,Eta-Sapped Copy-Taxpayer
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