HomeMy WebLinkAboutHomestead_Weales (2) ,, CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
g A STANDARD/SUPPLEMENTAL DEDUCTION FORM
Sat Fan 5473(R17/1-16) HOW
Pmsceed M to Dramatic/Loral Gaertner(Finance
INSTRUCTIONS:See reverse side forasg YISWagons. r
NOTE-Telephone, ••":•-., ,drivers keno,state'.-sal, end federal identeca&an numbers are confide,Jtal under IC 6-1.1-12-37 I
CcRTIFICATION STATEMENT - -
I(Vile)_r ' avl . . a.J r a arA / certify that I(we)occupied as my(arc)prin�" II a
place of >'•- • a am(are)buying truer • •rig described real properly under contract for vAsidl a Homestead Property Tax
Deduction is he claimed on the date this appfrcalion is signed, (date of signature). I(4Ne):
Own. Am(are)buying urger receded catact Cl 80/9
❑ (are) entitled to owrpy asps tenant-stockholder of a 000peJetlk housing c rpaation. GI,
❑ Have a beneficial interest in the trust a the right to oazmy the property under the terms of a qualified personal •
❑ Am(are)the shareholder, partner,or member of the entity that owns the property. NT
CLi.uaANr•s INFORMATION- -. .
Some Swingy .-.- urt a
Some Seasdy reef of draws spouse(ten f e Oars) morn ion r ldwAYY✓m I Carr neater of clear r sparse(tat ase cues) stag sate
(A/pimNe only iapph fs span am not fewe some seen*rater)
- - - , - ' CONTRACT RECORDED::
If bring on oar*Fee Sigh comers rare
Recedes office Wee contract is remNed Remo number Page
- _ - - '—PROPERTY DESCRIPTION i-_p � — .;•'3-
PTowne* T . (a
:eater Lege desafiJ`� b Fgies4ac
mpmerty 0 Aanaty .• -r'made Pane(IC 6-1.1-7)
If any pafiai at the resdelte lame or es end not aaseag one(1)ace tat inrtrdateJy tat retire is used in produce booms.defers the use eat panne
at to papare saved to police income.
at-/Vic io.a- tO/.s2/-M7
'" PROPERTYOWNEDELSE1YHERE RY.CCAlMArn ' - - -- 'r k
Sloe,Caecy and Toarahto Is dannant vacating a homestead?
Yes ID No
I hereby certify the above statements are true,correct.and complete. I i
---AL...
Address awrtad(rxlrndmmn sbeQ ore Sn,at ZIP Ih' hcrnesiegal. en reek,ail:sib.end ZIP code)
A 330 E. Cl,, 54-. I ,dG4
.., ..,.........:ASSESSOR USE ONLY __ -) _`-ASSE .,SSED VALUE: HOMESTEAD VALUE j .r• H :VAOf1 LIDENTIAL ti`
.Land not exceeding one(1)acre Immediately '$e"4L :i
surrounding residential improvements (1) ..y;r; .-4--._ t , .. y-
Other land } .1 -y`i`__
Total land(line 1 plus line 2) (3)
a + -.-r-;
Residential hnpruve sects or Dwelling (4) - - _--' .2g!->>t,_c___�?
annually assessed mobile/ _ : s t: -
manufachrred home Garage (5) .,:,vc3l-..�_,--:^4�':: ...-=?'.
Other improvements (b] _. . .'c e.,`-i.....-IT4F„
m
Total hnprovemea(line 4 through line 6) (7) '^Y
Total value(line 3 pas line 7) (a)
I hereby certify the above is true,correct, °°aAuassp Date signed Orel;day.we)
and complete.
Vetyi action-sputum aAuder Dale vgied(nett thy.leaf)
20 pay 20 Lesser of 60%of the assessed vaue of the homestead or$45,000.
No(xithstarxfrg any other provision,the sum of the*Alcbbns provided in IC 6-1.1-12 to a:nubile home $
that k not assessed as real property orb a mandactlred Mena that is not assessed as real properly may
not exceed one-hat(1/2)of the assessed vale of the mobile home or manufactured home.
Sipehse akadn Date silted(mean,dal,tee)
DISTRaUTION:Original-ConyAsLaa.Fissrped Copy-Tatra
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