Homestead_Turner CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
L 5...A, STANDARD/SUPPLEMENTAL DEDUCTION FOB - -
t -i3�=� Slam ran San MIT i 1-16) HCIO2-Ca l et
�.�j Presumed A es Dwlameeg al Ley Goverment nt Finance
INSTRUCTIONS:See reverse side for Ong aims.
NOTE Telephone,Serial Saucily divests taense sae iden55Cailon and federal identification numbers are omi50en6al under lC 6-1.1-12-37.
I(We 7„l7 ►n Che sca Tu"lnc.. • certify that I(we)occupied as my(our)principal
place of residence am(are)buying the following desalbed real property under contract for which a Homestead Property Tax Standard
._• is hereby claimed cn the date this appinfion is signed, (date of signature). I(We):
r i Own 0 Am(are)buying under recorded contract
■ Am(are) entitled to occupy as a tenant-stockholder of a cooperative housing corporation.
❑ Have a beneficial interest in the trust a the right to occupy the property under the terms of a qualified personal residence trust
❑ Am(are)the shareholder. partner,or member of the entity that owns the property.
m Reoad minter Page
I I
- .'RJPERTY DESCRIPTION' _ "' - -
Canty Township T.... .dstp •. ,ta.n mmVslp)
Pam seater Legel d soipbm '' m�,
t In
N'COUNTYAUt ■t
GIBSO -as
psRsry ❑Araaly assessed monde r®(IC 6-1.1-7)
u any residentialrb a nee land not exceeding one(I)acre tat tmmt20S4y- - --tilt.. -. -is used be potce hrmme,emote to tam and pinion
el Itt popety ratan be process,ion
26 — - 1 .,' .--. '2-S I.V.o 5-0 UL LA42Ir o Z�—
- -- ' - ".-.♦ 1 - PROPERTY OYINED ELSEWHERE BY CtAli1 ANT • -- -
Sate,Casty.adTormstip Is.:.).-. vacating a homestead?
Ia Vas ❑ No
of dalmae
I hereby certify the above statements are true,cored,and complete.
Address at coned(units and e.oily stab.end ZIPcode) I LiImy(number are street,lap:sate,and Z/Pmd)
a1 ISi50c,O •' vil\c — .
- 'ASSESSOR USE ONLY rU+; 'o) _IASSESSED VALUE .;:I- --HOMESTEAD VALUE ',, NON RESIDENTIAL„' -
YALJE
Land not exceeding one(1)acne Immedlamfy (1) s ;T
surrounding residential improvements _,.. _.,._' _._...
Other land (2) a 1. t'
Lam-..�Lt.�...... .«
Total land(line 1 plus One 2) (3)
Residential ess.d emetdsa Dwaine (4)'
annually assessed mobile/
mamtactored home Garage (5) .�ts ".;_. .... . ._ .:_
Other unprosements (5) s t ._:t _ r
Total improvements(line 4 through line 6) (7)
Total value(lie 3 pits One 11 (a)
I hereby certify the above is taw.correct. S'Vea°°Of Anemia!' Dam sired(rpaett lax year)
and complete.
verifying edam-Signore of Ana.' Date signed(meth day lean
- _ �STANDARDDEDUCTIONALL0WANCE" . . _ ...
20 pay 20 Lesser of 60%of the assessed value of the homestead or$45,000.
NoMfthstandvg any. A the sum of the deductions provided in IC 6-1.1-12 to a mobile home $
that Is not assessed a or to a manufactured home that is not assessed as real property may
DM exceed oneha►(7 4 .• 1.,assessed value mobile or , home.
Somer.dAudits GPO
orsp '1 rear)
DISTRIBUTION:Odgb®I-Caatyfrz .ReSampad Copy-T l .
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