HomeMy WebLinkAboutHomestead_Gehring CLAIM FOR HOMESTEAD PROPERTY TAX
PAIS..1 ` STANDARD!SUPPLEMENTAL DEDUCTION �� l�
r Sala Form 5473(RITI 1-16) HCMO YEAR
�`�' Presented tell Department of Local Government Faeroe
INSTRUCTIONS:See reverse side for66ng instructions.
NOTE Telephone,Social Secwdx driver's tense,state iden56catlon and federalitbnlibca.5m aortas are conffdenfel under IC 6-1.1-12-37.
I(We;/WAnHo)JY dafm� ,M9 • S tOk \VC U - certify that I(we)occupied as my(our)principal
place of residence or am( ) the described Peal property under contract for which a Homestead Property Tax Standard
�`��`De///dduction is hereby on the date this application is signed, (data of signahrra). I(We):
owtt ❑ Am(are)bag under receded ve tout.
(are)entitled to ocoupy as a tenant-stockfwlder of a oxperative housing corporation.
❑ Have a beneficial interest in the trust Cr 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.
•
• ♦
• -- •.CONTRACT RECORDED _ .-.• _ - . .
titanic on=react Fee Sena°sera name
Recedes cam vane anew is recorded Record ants Pegs
�' -• •V i PROPERTY DESCRIPTION'.- - - _ - ;•s-
Canty Toward* Ts c&Snot(ad);twig beshk)
Parcel ants lapel cataV61n Is an property is lesion
❑Real VWety 0 A-uvmty assessed o»tie tome(IC 6-1.1-7)
nary paten d the residential sincere or ere land ra Ong one(1)ewe eat Immeaa*q=Mrds that Sense is used to Roam iris desale ee we at Callan
d ere ceder*tilted b proems inure.
_ : -.
� 6 ) is—13-1 °-2,-000 .,£10 -oU ,
-
- � .- ',, PROPERTY OWNED ELSEYYHERE BY CLAiM1tANi Z - :-J•=J: s ..
Sala,Canty,and Township Is dahnst vatalig a homestead?
\\ 0 Yes No '
I hereby certify the above statements am true,correct,and roan
1
Address of aural(number en1 sheet Sct nab,end ZIP Cole) Address of and&met,orty,state,end ZIP cols)
i_ ASSESSOR USE ONLYli. - ASSESSED VALUE_ ` s °146455TEAO JAWE ';LiNON-RESIDENTIAL
y,. =VALUE
Land not exceeding one(I)acre Immediately (1) c i -t I. l. i` a #^+•>r '"ssy iu 't(
surrounding residential hn COVemenls » "'C
Other land ' _ - (2) _'';... <...,
Tote)lami(lie l plus En*2) (3) AUG 2 3 2019
Residential tmprovemes or Dwelling (4) .ts "'i 1 s'_'
m
annually assessed mobile I
manufactured home Garage (5) A sr' , e,; L - E
Other improvements (6) GIBBONGn17NTY A{j•p TOR
Total Improvement(line 4 through fine 6) (7)
Total value (line 3 plus fine 7) (e)
I hereby certify the above Is true,correct Signature o(Assess Des stated(manly day,)eat)
and complete.
Vaayeg*Mon-Signature diadem Date spiv(potty day.War)
- - .. :'i1 t _ _ _,i-STAIDARDDEOUCTIOIJALLOWANCE -. - - .
'20 pay 20 of 60%of the assessed vague of the homestead or S45,000. ,
NoMPJrslarx&g any•-• • !IFme deductions provided in IC 6-1.1-12 to a mobile hone $
that is not assessed •.,, orb, ..1.._. ,.home that' as real popery may
agnot exceed ar(7 �.gee. ` ..the- rrrobdB home.%native }Data
( 23, ..
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OtS RISIM0N:Otghif- • ,4 Fia-StaraPed Copy-Tspays '
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