Homestead_Calhoun (2) •
e CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
5 ' STANDARD!SUPPLEMENTAL DEDUCTION Fay o
Slat Pan 5473(R17/l-16) HC10 )
Prescribed by Me Department of Loral Government fame
WSTRUCTrONS:See reverse side for gang instructions.
NOTE Telephone,Social Sanity;drifer's'cense,state iden55cab'an and fderalIderCacabn numbers are mn50ential under IC . 1 ' 7.
I(We)_ _certify that I(vte)ociaopled as my(our)Principal
place of residence am(are)buying the lowering desanbed real property weer contract for which a Homestead Property Tax+Stapd rd
application is hereby claimed on the date this appfion is signed, (date of signatuie ): ?Olt
)gcm.- ❑ Am(are)buying under recorded contract
❑ Am(am)entitled to oca)py as a tenant-stotldtolder of a cooperative housing corporation.
❑ Have a beneficial interest in the trust a the right to occupy the property under the terms of a qualified Person --
❑ Am(are)the shareholder, partner,or member of the entity that owns the property. GIBSON COUNTY Al DITOR
Marne et(Mir paged mai
Soda)
Soma Searty nutter of drones spouse(last ere dgas) Oeiveri iceva l nvtenatai I Craw rumba d datrna•Ys spade(Iasi Se dyad tasvg State
WO:able afyaeppr:ertrs spoor dos nr late e aw>b seamy nareej
- _ - CONTRACT RECORDED r - _ -
a Nord a;mr]acc me
c_i—Q A do c�
Recorder's oeoe wlme�0ffi isr% riled Record ones Page
IV 201S, Si Si ;-
-
Carey/.1 bested_
f
GIB Sent— Yc het sort , Tway d¢tricr(r>dY.//amm y S, 4+. .
Pats neater lIndmagpsan Is inY'tTasYas1fT-1'I.1.Dt- T•^
Red RNsty 0 Annually assessed amble!fuss(IC 6-1.1-7)
6 any pain of Me resde:NI strumse or the land not eseedcg one(1)acre tat immedidely swards eat structure is teed to pro&n inmate,aesmte the tea ens portal
d ere popery Mired to product imm.
26 — 23 se,-,Zoo-- ODD, g/I--0C 9
a • - _ - PROPERTY OViNED ELSEWHERE BYCLAIF.MANT t -
SON,Casey,and Township Is claimant��/pm'p a homestead?
TA l, G, bscn , Qohn c are.. ❑ Yes No No
I hereby am amity the above siaemetls are hue,correct and complete- . .`-.•.- .l4C191.47)
Adhm drafal(cornier end street etc sib.led ZlP rah) ....__rtsamledteaseasaa,d eel Number are rd.dlY.s3.b.endLPasb)
-T1 ASSESSOR USE ONLY I_ I ASSESSED VALUE e.cI Hof ESTE D VALUE_;T
R ASIIDENTIAL - :%;a
Land riot exceeding one(I)acts Immediatelya4 E. s-
�
surroundmgresidential improvements (1) An-<•-F#= S" .,.;r-
(2) r �x -T
Other land -....:;-O"a{_c,?e,-_u::-Y,f
Total and(line 1 plus One 2) (3)
Residential Improvements or Dwelling (4) k e ' ,c
�- _
annually assessed motile 1
manufactured home Garage (5) ',.f.-`.- L_ _.- __,.-. . - _ :..
•H a�' S-_\
Other improvements (6) _ >5 e f-._. .
Total hnproveme (line 4 through Una 6) (7)
Total value (line 3 pia One 71 (6)
I hereby certify the above is true,cormct, Signature of Assessor Date signed(orb,mg yea
and complete.
Veaybg ado-Sipaase cN non( Date sped(moo*cey lca)
20_pay 20 Lesser of 60%of the assessed vdue of the homestead or$45,000. .
NoM'Jrsarc6ng any other provision,the sum of the deductions pmrided in IC 6-1.1-12 to a mobile home S -
that is not assessed as real property or to a manufactured home that is not assessed as real property may
not exceed one-hat(1/2)of the assessed value of the mobile home or manutractuial home.
-Ce 5 Styx l c / 2//o p 5
DISTRIBUTION:Original-Carty Auger,Ft>Slanied Coy-T
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