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Homestead_Earles t CLAIM FOR HOMESTEAD PROPERTY TAX YEAR C5 STANDARD/SUPPLEMENTAL DEDUCTION FORM F"' �� Sea Fa (R Ran 5473 MIT - ROM Prescribed by the Depamert of Local Oove mmnt Rene INSTRUCTIONS:See reverse side for Ong rlsbucbont NOTE Telephone,Social Security,diver's iowse,state i0ea65caion and federaliderIDLcafton numbers are confidante?under IC 6-1.1-12-37. • I(We) (•'�' '� fP ‘ , certify that I(we)occupied as my(our)principal .. place of residence or am(are)buying the fo6ow41g described real property under contract for witch a Homestead Property Tax Standard Ded is hereby claimed an the date this application is signed. (sate of signature). I(We): tAi 0 Am(are)buying under receded . ❑ Am(are) entitled to occupy as a tenant-stockholder of a cooperative housing corporation. ❑ Have a beneficial interest in the test a the right to occupy the property under the terms of a qualified personal residence bust ❑ Am(are)the Shareholder, partner.or member of the entity that owns the property. CLAItaANT'S INFORMATION" -- , Nape d tlsnat(lryal:Woe) Soar Seca/natter of=cants swum(am ffe Cats) Drivers teens./Meton=/Oter tamer of claimants spate(ad b Issuing Sate ~cede arly1apimts spare does roof hose s toad.--• number) - CONTRACT RECvr'DEti s i - - s --, It&villa on contract Fee Simple meters come I r :ate Ill ire.- Readers ogre vAae carted n recorded MAY 6 1019 f:bmrdnanter Pepe 'PROPERTY DESCRIPTICII Canty - Ta.nsrt4 •i11�Ivy Idh1)pi II ©� ci - aIBSON COUNTY AUDITOR n _ Papal�Salar load Le be prepety h uadi= 0 Rd prcPerty ❑A.-saoly assessed sofa bare(IC 61.1-7) If any pram d the resderda stomas or be lad not meeting one(1)acre that mrnesauN surmises out smcmaa is used to produce iroxne,&samba ae use ad portion a the Rope'•uT ed to posse:vane, 26 - 1y - tS - 3oz -o01 . zsl - oo 7- - '...�•' -. .i .. -.. . . PROPERTY OWNED ELSE:VHERE BY CLFIt1AtJi'*•-. .c;-" - "' SateGaret a m d Town* Is valing a tnnesteadl ` .... Yes ❑ No ' &dams t I hereby certify the above statements are true,conned.and complete. sr AA4ass d covatt(nmberaMabae(pity, .ad� ) G fineasxd. a' � ma.) s n tly�t ksIli �n4 1 � 9: 97 n=Hotil',3i' �l RESIDE J • �l\1CC AL L Land not exceeding one(1)acre Immediately -tr*r, 'f- -Y' y'X'- sunourtemg residential improvements (1) "..e» 3_ _ =nr. Total Lamed(line 1 plus line 2) (3) Residential Improvements or Dwelling (4) IlictLIO - _ _t d. annually assessed mobile I elat manufacturedured home Garage (S) • aF.s__?r�"-_. ,... .' -.-. 7 Other improvements (6) .,. ,., p; t-t+-__-4 Total improvements(line 4 through line 6) CO Total value(line 3 pas Una T) (8) I hereby certify the above is true,correct, Siaatae dAssessa Dag vyrsl(ntxh,sex yea) and complete. Ve&ytg attar-Sratro aA:.d= Dam Sired(mama del:Year/ • +'" _ ` T. -,BT"NDARD OEDuc oIJ ALLOLYANCE -• ° - -20 pay 20 Lesser of 60%of the assessed value of the homestead a$45.000. .-_ • Notwehstandi g any other provision,the sum of the dadzdons pvovicbd✓in IC 61.1-12 to a mobile have $ • the is not assessed as real property rob a manufactured Mine that is not assessed as real properly may rot exceed Thal(la)of the assessed vvete of the rmbd ho�caP eW home. dAuditorN1r i S v - / auauadDatedintog:1;ly,heat � � G71.13\L OtynasURON:Qigaal-cantsArt.a,FdeSamped Copy-TexPaya Page 1a2