HomeMy WebLinkAboutHomestead_Price (4) �saa.. CLAIM FOR HOMESTEAD PROPERTY TAX - YEAR
• STANDARD/SUPPLEMENTAL DEDUCTION FORM .�
1 . Stab Fan 5473(R17/1-16) HCIO l�
FtV-r '] Pmeolbed try re Departure of IN Goveamaa France
INSTRUCTIONS:See reverse side Ior55ng rnhlrcbbns
NOTE Telephone,Social Security divers:cense,state irlentgadon and federal idea/station numbers are confdenffal under IC 8-1.1-12-37.
CERTIFICATION STATEMENT
I(We) ( ■In _- a ready that Kure)occupied as my(am)principal
place of residence or am(are)buying the following d -•.-.real properly under contract for which a Homestead Property Tax Standard
Deduction is hereby claimed on the date this application is signed, (date of signature). I ONO
❑ Om ❑ Am(are)buying tat recorded contract
❑ Am(am)entitled to oa'py as a tenant-stockholder of a cooperative housing corporation.
❑ Have a beneficial interest in the trust a the right to occupy the property under the temps of a qualified personal residence trust
❑ Am(are)the shareholder, partner,or member of the entity that owns the property.
Name d oaken gnat
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Soda)Seasty
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Soda Seamy claimants grave pad She Ggmb)Dowers rave r ._. ... - nma d damns° mouse dad the crts) twang Sob
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t bong;an mead.Fee Strode owners rra •
RBTree's ague Where mleM is 109d1d Raced number Page
- _ _ PROPERTY D'c5':RIP -
Carey Township 1!r1• (oh;tom,toewd0) _
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Hamel ss nenber Legal daptan OH'
a nqusx.t -
G Real rrcpary ❑Am*Ay assessed motile tome(IC 6-1.14)
a any Parton et he resMacal s`umae ate land as esmectra we(1)age oat tnrcda2N murare b used to Padua insane.desote to use and ratlre
d to Pregety rebel to pods risme.
-• - i -2 1 — 002 . S13 — dig• .
• . . . PROPERTY OWNED ELSE:VHERE BY CLAIMANT ' - ' -. '
Sob.Canty.as Township Is claimant vacating a homestead?
❑ Yes ❑ No
I hereby certify the above statements are true,correct,and complete. 7 ,"/
Amen d contact Harter end SRC Ott,a and ZIPw4) Sofres cfraggefid is s:atl.I my(ramte-addWeWee4 my,Mee.
Vx(J[ U i. -71PAor'ds -Lyn
ASSESSOR USE ONLY ASSESSED VALUE . HOME-STEADVALUE NOiH
N RVEASIDENTIAL H �T��.
Land not oneacre immediately
:t
surrounding residential uti)provements (1) '+41'.my -`s c' r..'<-.
HHHH
Other land (2) Y= - ;v, t. fi:-'..=
Total land(line 1 plus line 2) (3)
Resdentiall rites :H _ -°T --� H --.--}'.ssd.mobile I -
s
manufactured home Garage (6) •..H _L.�.".,-,
Other improvements (6) ?rf u^H- ,H 4::_--H_fs.`.t."... •
Total Improvements(lee 4 through line t) (7)
Total value Vine 3 phs fine 7) (a)
I hereby certify the above is true,correct, Smymae cAssessa bra cord(ann.clans real
and complete. -
VeiMg Ism-Sig atre d Audla Dab Wed(moat,day.lea)
- _ STANDARD DEDUCTION ALLOWANCE.. _ . - - -
20_pay 20 Lesser of EOM of the assessed vane of the homestead or$46.000.
Nob ehffincE g any otherprovision,the sum of the ded dons provided in IC 61.1-12 to a nnnle home S •
that is not assessed as real properly or to a manufactured home that is not assessed as real properly may
not exceed one-half(112)of the assessed vane cote rrebde borne or rnamdacoaad home.
Swain Of Mather Dab deed(na tt Soon)
She Ja Src '\ C 2--1 S-0 .
DISTRI IITiOM:Gdgral-CaatyAterba.RieSanced CPpy-'
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