HomeMy WebLinkAboutHomestead_Voges v . , CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
' t STANDARD/SUPPLEMENTAL DEDUCTION FORM 1-1
lk +. --i SAb For HLY
Fora 5473(R1T/1-16) O
R�! f] Pinned by re Department rated Government Fine
INSTRUCTIONS:See reverse side for fling ilstrucfona.
NOTE Telephone,Social Stara%diver's fcense,safe ilein55ralon and federalide,C&cefpn numbers are coadeniial raider IC 6-1.1-1 —v
� CERTIFICATION STATEMENT
iv
I(We) .AIO [►��4 _ r 0 certify that I 1/4 Tow -, IP,principal
Place
place of residence or am(are)buying the •l• . 1 0--• •=•real property lines contract for which a i• •roperty Tax Standard
,D,eeduction is hereby claimed on the date this application is signed, (date ashyta em). IVAS
Dp Own. ❑ Am(are)trying under recorded contract 9OM
gC��'
Am(are) entitled to occupy as a tenant-stockholder of a cooperative housing corporation.
❑ Have a beneficial interest in the trust or the right to amuyy the property under the terms of a qualified •-.•.nt -...-.1,.-
al• ..
El Am(are)the shareholder, partner,or member of the entity that owns the property. I „ e% rr UpITOR
- • - CLAIMANT'S INFORMATION - .
name cadential(legal name) -
911 1r
Scan Stony rumba of=area space(Iasi five deb) Olive's Gan.IItt:lawn I Ole/neater el dmrstt costae.fad five 6yls) (seam Sala
(AOPrratie my/appi eSs sparse does nee mi.e a sodas sea yrwte)
CONTRACT RECORDED -
a topic en mead,Fee Senile paces nano '
RemdYs ohm where astran is recanted Reread rather Page
✓ ` _ - _ n ",`PROPERTY DESCRIPTION. - - -1 .
Casty \ T Tatip lseYt( - ,term.101mstab)- - •.
_Patel legs deso�m Is eve ngasson
• Red arPary ❑Annually assessed=bile tare(IC 6-1.1-1)
If any poison el eve rev]aent oumme nee land not eateedmg me(1)sae ere Imtme6ely sender.is used b tram locum,despite ere use and pato
of me moot Wired b pmdre booms.
2L-0.5 — 333— ? —DY&•Y51- D( t-1
r PROPERTY.OWNEDELSE1VHERE BYCLAIMANT _ - ..
State,Casty,ase Tcrs S • - Is claimant v ling a homestead? .
4l La V( 1 b De xn ! e, /' - �gyva 1-3Yes El No
I hereby certify the above statements are true,correct and complete. X .,d. _
Fhtress el mPal-(amte-end Meetdll.seal.ad ZIPdary ••)J• -•r— .envy.area ani street.ob 'sate.eel ZIP code)
17 _ h1• C. ,11, .n .ell 'n'c44 INV76V it::. •,
. ASSESSOR USE ONLY ,.1 ASSESSED VALUE :ti1p 1."HOMESTE D VALUE::--� mNON NON-RESIDENTIAL
Land not exceeding one(1)acre inmedataN a ite--? T'
surrounding residential improvements (I) - 'r'Y1? _s's. :+,),-,
Other and
Total and(line 1 plus fine 2) (3)
.c _
Residential improvements or DweNmg (4) _
annual&assessed mobile I F rp
manufactureduredborne
oe Garage (5) - `s.v ..
Other improvements (6) a t-� a r(ro._ .
Total improvements(line 4 through line 6) CO
Total value(line 3 plus fie 7) (B)
I hereby certify the above is hue,correct, 118 othssessrr Dar signed(morn.day,lea)
arid complete.
vtrtyeg emon-Signatre d,Vtbr , Dale Opel afloat)
eyed( oat)
r s_ ._ __A4. e a 5 4-_ L 9
y, , STANDARD DEDUCTION ALLOWANCE:, . •. . . - ,
20 pay 20 Lesser offe0%of go --••. -of the homestead or 345.000. -
Notwithstanding any utherprovision,the sum of the deductions provided in IC 6-1.1-12 to a mobile home $
that is not assessed as real property or to a manufactured home that is not assessed as real property may
not exceed one-ha(f/2)of the assessed vale of the mobile home ormanulachaed home.
yqudta Deb deed(rmKa,day,Two
-
�a L.4dC)444-` . ,� /ll t .5-9 - 1 9
WSIWBIrrlON:Original-CasbAudf.Ale- iced Copy-Taxpayer /1
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