HomeMy WebLinkAboutHomestead_Vanoven • ti CLAIM FOR HOMESTEAD PROPERTY TAX PDRE! YEAR
4. •• - ,�• STANDARD/SUPPLEMENTAL DEDUCTION �
State Farm S473(R17/1-l$) HCIO µ0 k$
Prasatted M to Pe .snit Of Loral Government Armco
INSTRUCTIONS:See reverse side(ordfirg imbuc:ons
NOTE'Tekplione,So®l Separty,drivels Scene,state ide765ralen and federal ice' ca6me numbers are confdental under IC 6-1.1-12-37.
I°Ale) G o \JCW\(3 a certify that I(we) • )
place of residence or am(are)buying the following described real property under contract for which a Homiest ate
Deduction is hereby claimed on the date this application is signed. (dale 1 ).
Own. ❑ Arrl(are)buying under recorded contract_
ntra
❑ (are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation. ��((``sa&n o4 11
❑ Have a beneficial interest in the trust or theoccupy right to occupy the property under the termsqualifieda qualified
persoiraF'le & �'8
O Am(are)the shareholder, partner,or member of the entity that owns the property.
Naan dam dd(bpa recce) ai1 `� V � ^ a
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Soad Security number d claimant's Runs(fast film dais) Dnra's bone r LSmtim I Otw nmWe d dmnata spouse fiS 6Ws) Issmg SSala(N4fmble cdyfldateppinrs n9anp Boas mat hate a spa
sabl aeastymvAaj
r
II brryry mar Graft Fee Semple caeca name
e
_-.Recorder's ogre wee away is recorded Rand renter Page
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PROPERTY CESCRIPTION - _ _
Canty TowraRp Taxi);rat(ply,kern baser{»
Pats number Legal daaRtor% Is the popery b question
0 Real Peaany 0 A.nrnly assessed noble Isere(IC 6-1.1-1)
ll any panto Of to res0erdal scare or es lad not emntq one(1)are that kreneezzlely strmads that stare is aced to pmdte none,desa'Le to use and paten
of to a y take b podte items.
L- tI — ( C '-(7-0-2--" —•0 CIO 2- ' Cl2`7
_ _ - -'' - PROPERTY OVlNED ELSESYHERE BY CCFIk7ANT- '-j-�" ..+: j y
sa ,Corty.aid Toarslet - Cetiiied vacating a homestead?
/E) Yes ❑ No
a da�ryvt ,
I hereby certify the above statements are true,correct,and complete. J l
•
Address dmtad(aedaend Meet dry"Male,are ZiPaee) --Addressorr mate ,Meer' 4tII Saldaed,ah�'� td ZIP`r code)
z) 3 W 50.s one, c en .90
NESIDEN fIAL
_ ASSESSOR WE ONLY 1 Li-.1..,ASSESSED VALUE:_,[ HOMESTEFO VALUE_.: t NO ti-RygLUE _
Land not exceeding one(I)acre Immediately es x- .�'^s-^ -
sarroondm re gsidentialbnprovemenis (1) 4_s 3+{3-T'-gs _s
Other land (2) vas`-axuli: NSc-x.-_sz
Total land(line I plus line 2) (3)
Residential improvementa or Dvteging (4) 1.+,E- µ r r -.
annually assessed mobile I -,`;r- s _; Z 4 -.
manufactured home Garage (5) - Va.yS_.5•.':.-:. . .ei, :.
Other improvements (a) .. a l .,:,•.j.==°__..-.-2,11
Total Improvements(line 4 through line 6) (7)
Total value vine 3 Pea fine 7) (8)
I hereby certify the above h true.cornea,
Signature o(Maessor Date elwad On*car.yea)
and complete.
Verifying anion-Sig nave OfAusda Don signed(Ira day,tea)
20 pay 20 Lesser of 60%of the assessed value of the homestead or$45.000. .
NOAsehslandng any other ppvision,the sum of the deductions provided in IC 61.1-12 to a noble home S •
that is not assessed as real property ore a manufactured home that is not assessed as real property may
rot exceed one-hap(I/2)rf the assessed vats tithe mobile hooaama ou�anufactsmd home.
a:rare d`vtdmS'�_ : Sv Vsi I Z�
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esiiIBlmTON:Odgial-Carey Artta.Fie-Stmiped Copy-Taxpayer -
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