HomeMy WebLinkAboutHomestead_Fortune (2) „ CLAIM FOR HOMESTEAD PROPERTY TAX - yEAR
E. k STANDARD/SUPPLEMENTAL DEDUCTION PORAI
Sea Rom 5173(R17I 1-16) HC10 2-1°1 I .
1/4.�f Traipse M9e Department dlury Gotatsreea Frain
INSTRUCTIONS:See reverse side her fling insbudions
NOTE Telephone,Social Seaady,divert&cennsFse,state identification and federal identification numbers are confidential under IC 6-1.1-12-37.
resident&¢
I(We) V- • certify that I(we)occupied as my(our)principal
place of am(am)buying the following desathed real property under corned for which a Homestead Property Tax Standard
Depiction is hereby claimed an the date this application is signed. (date of signahme). I(We):
Oval ❑ Am(are)buying under receded t
(are)entitled toaxxnpy as a tenant-stocktwlder of a cooperative ive housing corporation.
❑ Have a beneficial interest in the trust a the right to occupy the property under the terms of a guarded personal residence trust
❑ Am(are) the shareholder, partner,or member of the entity that owns the property.
T y� .
Nam. 1-Mprdavu,) • \�
J,\(
Sods Seasty nrte ddues span(es(free Mils) area's Stara to Wear owner d damson space(bra five den Wang Star
White*oily depprce is spars ties not tote a social seamy numberr.)
1 I I I 1-\
It bung on attract Fee Simple ones name In ;my ion'
Remdeh cam*then coital a recorded MAR 2 7 Z019 Ramrd number Page
PROPERTY DESCRIPTI N- ° _ `~-
Canty ((``�, Toamhp Taap'-147i I yr1141r -
V�\b)�n _ \c��YuV) gIBSON COUNTY AUDITOR
Pete nice 3w Legald� a the Pointy i Wenn
V 0 Rey ircPeni 0 Amway assessed tnela lea(IC 6-1.1-n
II any penal d the residential sense or ea lad not etceedig me(1)nee Mat inmeayy ssnrrds the sw aae is used to prate a Smma desate tie tee and portico
of ee property heed to cite income.
a6 — 23 -09 — 3DO — ao2 . 41 —02i
- - r PROPERTY OWNED ELSEWHERE BY CLAIMIANT -. .
RIM Casty.aid Toamlq Is claimant vacating a homestead?
0 Yes 0 No
t Sipaxra imam t
I hereby certify the above sfatenreVs are true,o]rted,and complete.
Address d raen feather and meet Mize/Me ant ZIP coil . r vavted funestat.had barmbarad meat,d6:sea.end ZIP-...)
- '1 - 10 \ 1. ►
ASSESSOR USE ONLY _ I• - ASSESSED VALUE,.''.I HORIESTE D VALUE:cI i.Li t0:-RELIUENTIAL< 'c:
x
Land not exceeding one(/)acre immediately 4�.y:,4$a-q
surrounding residential bnprovements (i) .a-A- ._-
Other land (2) S-4ra-=r #"-.z.-*„. .
Total land(line i phis fine 2) (3)
Residential Improvements or Dwelling (4) '1 _ -'
annually assessed mobile I s Y;;
rn •
manufacturedRoma Garage (5) _.. .�,�-_.-_-.^•. .�. ...-. ._,
Other improvements (61 _`'�.`.F.> F-,,,:.._`Z z?
Total improvements(line 4 through line 6) (7)
Total value vane 3 pha line 7) (6)
I hereby entity the above a true,conea, of mama Dan tired(ma d31;yea)
and complete.
wan);action-Santo caoder Date signed(man d%lea)
-, _.. . _ "STANDARD OEOUCTIOIJ AIIOI DANCE�'-_ _ _,. .>a•-'_ _
20 pay 20 Lesser of 60%of the assessed value of the homestead or S45,000.
NoWJatanti g any other provision,the sum of the deductions presided in IC 6-1.1-12 to a mobile home S •
that is not assessed as real properly or to a manufactured home that is not assessed as real property may
rot exceed me-hat(112)of the assessed vatis of the mobile bone home.
Signore S C� Doe aped2, day,mar)
m 3 � _l`�i
C1STR1BURON:Origin-Casty Aisne,liaanped Copy-Taspaya
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