HomeMy WebLinkAboutHomestead_Cook - . ,_ .- CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
.• , STANDARD/SUPPLEMENTAL DEDUCTION FORM
Sara Fenn 5473(R17I 1-16) HCIO loft
m Piaibed by Ce Dammt d r teal Government Fran s
INSTRUCTIONS:See larerse side(orM6ng h,sNndonn.
NOTE Telephone,Soda,Seaadx meets faense,awe idennacabl and federal idadhcafron maubers are con60entis!under IC 6-A1-12-37.
I(We) O • certify that I(we)occupied as my(our)principal
place of residence or (are)buying the following described real property under contract for which a Homestead Property Tax Standard
Deduction is hereby claimed on the date this application is signed, (date of signature). I(We):
Owrt ❑ Am(are)"bigurea recorded .
(are) entitled to ocalpy as a tenant-stockholder of a cooperative ve housing corporation.
❑ Have a beneficial irdefest in the test or the right to occupy the property under the terns of a qualified personal residence trust
❑ Am(are)the shareholder, partner,or member of the entity that owns the property.
. CLAIMANT'S WFORtdATION _ -
Nano ofdmatl(legal name)
.
Social
Saba Start'area&&dyads emcee(ben She ages) Driver's fosse I NertSeefan later number d ms s seam(last fee dryly Isshp Sxe
Ptvieede arty aappfvd's spew na lase a social assay nailer)
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If uric m=nat.Fee Si;,fb callers nano
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Recorder's ogee Where contract is recited Read water Page
Catty e Toombs Tamp&aria Obi leas la-Mph (� 1
Famel rsa e .oabCan • Is ate property o bane= A on 1 d. G��.n"
❑Real Rmerb 0 A. mattes home( 6-11.11--n
n any paten d the residential emrLse or the law M eseetxg an(I)sea Cat ImmenatIOY sarwh6s Cie mature is used In Produce Incase deaab Ins tea all potion
den property dazed b Prom imrt.
--T=i = - . PROPERTY OWNED ELSEWHERE BY CLAIMANT >-
:
. -
Srza,Coney,ataToansslhip Is claimant .. , •a homestead? .
`V���vma��aaa�ae dddaaam�''}} ❑ Yes il 0
I hereby certify the above statemells are tole,correct,and complete. A 1
Address of mad(ama beres:met abscise..andMiPout) l aaa ad :.p_(�.-^asap via afy,a3le.and LP....)
0 0 • s J 9 N .
ASSESSOR USEDYLY `. ......"') ASSESSED VALUE' ," HOMESTE O VALUE ,R1 Land not NON RES�ENTIAL -Y. 1 y, L V R
sormundm�dential t one iI)acre mprovemeenb Immediately (1) 3-•z'_%3u i_,?,» `�6 `e+ s
Other land (2) *.> =:§19Pr.&
Total land(line I plus One 2) (3)
FILE 2
Residential hnproYemeldf or Dwelling (4) v - -
annuallymanufacturedassessed moiled I I,
home Garage ,.s -r"-
Other improvements (fi) '_
Total improvements(line 4 Omagh line 6) m APR 18 2019
Total value (line 3 phn Una n 03)
I hereby certify the above is bte,correct. i0<usxe m(Maesae "S Da signed(arxaq dab,eat
and comptete. —
veah*naman-siQhaereoAmar GIBSON COUNTY AUDITOR DEaw"' lm*m anew)
- _- STANOARDDEDUCUONALLOWANCE : 7. - - ,. :�� —
20_pay 20 Lesser of co%of the assessed vane of the homestead or 545,000.
NohviUrstandag any other provision,the sum of the deductions provided in IC 6-1.1-12 6a a mobile home S •
that is not assessed as real property or to a manufactured home that is not assessed as mat popery may
not exceed one-halt(12)ofine assessed vake of the mobile home ornantfachaed �j� Q
Symve dAuamr^`1 e . SeelAil '.• I rinsed`1E•1
e5TR181nioN:Original- ,Canty AugiattMle`r\stanped Cam-Tmyare
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