Homestead_McDaniels Jr • ,. CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
7�-'�tc a STANDARD/SUPPLEMENTAL DEDUCTION FORM v -. i Styx Fan5473U ,67 N7/1- I-1 10 � ' l
b- " Prescribed by Me 0aatvv of load Govamai rating
INSTRUCTIONS:See reverse side for Ong iabudtioos.
NOTE:Telephone,Social Secretly drivers kense,state idejt65raton and federal ide n numbers are confdent'al under IC 61.1-12-37.
- - . -CERTIFICATION STATEMENT._ -
- 1(We) 0 n () ( 0.111 • - W Certify that I(we)occupied as my(our)principal
place of residence or am(are)buying the following d—.'.:.real property under counted for which a Homestead Property Tax Standard
Deduction is hereby claimed on the date this application is signed, (date of signature). I(We):
Own 0 Am(are)buying under recorded contract
Am(are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation
❑ Have a beneficial interest in the bust or the right to occupy the property under the terms of a qualified personal residence trust
O Am(are)the shareholder, partner,or member of the entity that owns the property.
Nave d dames(agar name) - ^ Telma-me numbs of c :maf
r T Y (�G•n%el S,r . (
SocialSeamy amber M leant;spans(bra He casts) Crimes bane I Identacaton I Other natter of Marmite spouse(bairn deity Using Sae
(pyfatle arytSµ cwta spouse does m has a said wady'x rj
- ;,CONTRACT RECORDED _ - _. ..
If buying on aloof.Fee Shale owner rare
Ramld`'s office Mmtle contact O roasted Record meter Page
- - -,`` n-- ' artsR�p/�y�� _.I�PRopERTYDESCRIPTION
Canty \' -C-0 I T l • ! 1 ce in
Ming RttlYifore am;musuf� - --
•
Parcel Is the property n question
❑Red PrrferrY ❑Arne assessed noble tone(IC 61.1-7)
If arty prom of to resideraial t tome or the lad net exceeding one(1)are tot immediately enact that airman is used to produce Mona•detente to use aid Paton
of as peepely wed to produce ixnn.
24 - ‘2- oG - 403 - 00\ . R2-* - 02S .
- - - - . -,- PROPERTY OWNED ELSEWHERE BY-CLAIMANT -
Sete,Candy,adTaership Is siwst vacating a homestead?
Yes p No T �/
'p a 4ll / ; a" TL
I hereby certify file above statements are true,corrrect and complete. '� 11 Tom/'��y-7J('�Jy� � C� ,/
Adams of contest((ma ter art went oty.stet,and ZIPcede) �._-Iomes:eeC,f apWmserdtl�ea,city.sale.end ZIP code)
•
' - - " RESIDE
ASSESSOR USE ONLY _;, i� .__.ASSESSED VALUE�'��i HOMESTEAD VALUE5; - r'NO�I-yALUENTIAL- -_
Land not exceeding one(1)acre immediately -7 esvta•`" s. Y -
surrounSmg residential impeovemenb (1) .qC4
Other land (2) ��-„- .'"
r g :I t -
Total land(line I plus tine 2) (3) 91••f, 1Rei
R al eeml or Dwelling (4) s s -;s.a
r<- .
Vi - :�5:-[
amnually°"esseme°bleIoho
(5) JAN 14 Z019 a-s
Other improwrnenb (6) r
y,+i.4
Total Improvements(fine 4(Imuyh line e) (7) / „4
Total value(line 3phs lire7) (e) GIBSON C UNTY AUDITOR
I hereby cattily the above is true,correct,
sots.of Assessor Dab mtlped(emq del',yead
and complete.
Vefymg recta-Siamese ofAmdibe One u(eed(=nth.day,yen)
'I _ r - :ST UDARD DEDUCTION ALLOWANCE - _ - . ,
20_pay 20_ Lesser of 60%of the assessed value of the homestead or$45.000. •
NoMi@utarxtl g any other provision,the sum of the deductions provided in IC 61.1-12 to a motile home S •
that is not assessed as real properly Orb 2 a manufactured borne that is not assessed es real property may
not erased one-hal(1/2)atm assessed value of the mobile home or menderSued bom
Sigmas.afN6la Sin
` ` C—/m Dee' dw,S(mill oeY Yaag
S\C1�w; 1 j1s�1 U[d's I — t‘-1 Q
DiSTR®UflON:Odg'val-Corny Amato FieSISnmed COPY-Tageyc
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