HomeMy WebLinkAboutHomestead_Milam , CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
'CZ, STANDARD/SUPPLEMENTAL DEDUCTION FORM
Say Fam S473(R1711-18) HC1O
Preau®ed by the 0epatred Of Last Goren lei nurse
INSTRUCTIONS:See diverse side twang instructions
NOTE Tehepdae,Social Seaaibi drivers soenss state idert&a1un and federal idenarcetron numbers we confidential order IC 6-1.1-12-37.
ejCERTIFICATION STATEMENT • - -
- I DAM) !_/a (/�[/•��n��L�. 1[ Certify that I(we) ..-.t— 4. .:.
place of residence or am(are)buying the following described real property under contract for which a .P'„- .. .. .
Ded is hereby claimed an the date this application is signed. 7-2 2-/ 9 (dale.\ =;,re). I(We): L°4� oarL ❑ Am(are)buying under recorded contract `,`
❑ Am(are) entitled to occupy as a tenant-stockholder of a coopeldti.e housing corporation. J�
❑ Have a beneficial interest in the trust or the right to occupy the property under the terms or a qualified personal residence I •
-
❑ Am(are)the shareholder, partner.or member of the entity that owns the property. • --kir1I1" SON1
A �V
t • CLAIMANTS INFORI.fAiION- .::4-•' '
Nand (Mgareae) Ttlepplveeevibvd.=:y
�/XI' ♦) (812) GIB
Sails
Sold Scanty number d rants spouse dad 6w crypts) Driver's Scents I'dean IOmm number of dainants spouse(fast ere dens) smog Sate
(A1piceUe cry teppecats span does in haw a social seasymaibe)
( - CONTRACT RECORDED - - -. .
If turn an antral,Fee Stupe amen name
Reoadees office where ardract re'9ded Razor"manta Page
Canny T Ta,g (oy,, bamNp)
rGeirbSorb �vmerj an
'77��d 1, M ^_I,tl;93 lags lea .l erne
a-1721-40o-co '2f Real pcpely mobie hone(1C 6-1.1-n
If any porbon or me mamas innate er the laid m=teary an(1)sae tat EMCosetyrlaasie net situate 3 used to amree biome describe ale me are peace
of en property aired to moan bcn
'. ). PROPERTY ONINED ELSEWHERE BY CLAIMANT _ _
Stab.Casty.and Toe-ah Is claimant vacating a homestead?
/nn �•❑ YesNo❑
1 1A.---
I hereby certify the above statements are true,coned,and complete. •
AddressdwVad(mortar erd street miry,sal.at ZIPwde) Addesa d mated hanesteed,deny(number auswef,dy,.kwe,we ZIP cock)
7109I 9 s0 W
ASSESSOR USE ONLY �• - ASSESSED VALUE' t'.1 HOMESTEAD VALUE xj S;NOtFRE`IVENTIAL _-
Land not exceeding one(1)acre Immediately (1)
surrounding residential improvements
Other land (2)
Total and Gore f plus Tam 2) (3)
Residential improvements or
nacued /
manufactured
anufxOnr ed home Garage (5)
Other improvements (6)Total improvement.(late 4 Waugh line(I) (7)
Tool value pine 3 phi line T) (0)
I hereby certify the above is true,correct, skinscAssessor Dry signed(r tl;day,yea)
and complete. `�]
VpVyip /n- Du' Wat
t dayJe
t. `7- 22
- - ST::NDARD:EDUCTION ALLOWANCE,: TA.; - �.. 7:7 ,
20_pay 20_ Lesser of 60%of the assessed value of the homestead or 545,000.
NotwP.hs anomg any other provision,me sum of the deductions provided in IC 6-1.1-12 to a mobile home $
mat is not assessed es teal popery or to a manufactured home that is not assessed as real property may
not exceed one-hat(V2)of the assessed vale of the mobile hone or manufactured home.
Dale sided(cat;clay,
7 22- 1i
:lathe-CattyAuds Fee-Sa damped Copy-Tega ey
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