Homestead_Brewington . Is
^ CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
1 STANDARD/SUPPLEMENTAL DEDUCTION HC10
Stu.Form sera(Rio,t-ga)
*—.1"" Prise:.wed A'lee Deueri enl al L.GI Gorermrnl iuenG
%NS i.q_,;T.c'v5 Sc,',era
se ado for tiling
atn,ci Ons
NOTE ru'cpho,,e So:.4:Su.vnfy,durur-s Z.tarrac slate-danblpvlon and fuuwe%rdoil•bcacon l,wnbrrra ore[untdnrrbal under rC G•I I.12 37
'- -' ' "- -- • CEP-III/CAPON STATCt.1CN1
I OW________—_____t SAVA A BreWin91Qfi_....__-_ _-....�_- eerlrry trial I(we)Occupied as my(our)principal
place of residence or am(are)buying the following described real pro under coi9 fact or which a Homestead Property Tea Standard
Deduction is hereby claimed on the dale this application is signed. 4.2513/ (date of signature). I(We)'
m Own 0 Am(are)buying under recorded contract
❑ Am(ere)entitled to occupy as a tenant-slockhoider of a cooperative housing corporation
❑ Have a beneficial Interest in the Uusl or the right to occupy the properly under the terms of a qualified personal residence trust
Ii Ani isle)inn shareholder, partner,or member of the entity Ihal owns the property
i/App6caato only:)apdeanl's spouse does nalhare a social aocunly number)
.
` •"' CONTRACT RECORDED ' • - '
ifbuy.ng on contract Fee Sony!.owners name
Recorders off co when+contract is recorded I Record number I Page
I
• PROPERTY DESCRIPTION - •
ea niy Tpwnnm taunt)dlnnct Iady/o.rn rownan.pi
Gibson Francisco Francisco,Francisco,Francisco
P.6G-number Legal Eesrnplmn :h m.progeny in question fr..
26-13-1 t)404-000.197.005 PT SE t 8-2-9.96 AC D-7I A.ai progeny 0 Annually assessed mobil terns(IC bl I.?)
If any pan-en of me muaenl al structure or Ina land not eac.edmg one(I)acre coal immedielo:y+unbends MO slructuro is u1d to produce mcame.deacnba Oil use and pod ,1, "4�����
el ire property ut'aad la produce income UN n
UN`4 2020
G ._ ..1 . I
•- -PROPERTY OWNED ELSEWHERE BY CLAIMANT ' -.«•- .•...ti-- -. . .., I
SW.rovnp Ind rn„win p .Is claimant sacatng a hameste .0/, ,I%
V
I Indiana,Gibson,Francisco 1 D Yes IZI No Nl-3• 7gU
- 0i
I hereby certify the above statements are true.correct,and complete. a T Of?
of Ccntacl Inum street.aar and Signature or claimant coy stare and ZIP coda) Address vacated homestead if any inter and street nay stela and ZIP code)
'90'/fIJ.yr-'prr It' r2tc71co IN ' .4"
.•s.p^ `•.-.e+a,.*'. •,,,.,--NON.RESIDENTIAL,,,
. , fASSESSORrJSEONLY1 s•+1. ^ 'I,*• •"ASSESSED'VALUE - .....HOMESTEAD VALUE,„.„, VALUE
Land not exceeding ono(1)acre lmmudiately
1 surrounding restdontiallmprovemonts _,i1.-__.--.-
tI Other land (2)
Total land(line 1 plus line 2) (3) -.,.T__`_
I{Residential Improvements or Dwelling (4)
annually assessed mobile! -- �- '--_��- - ---�T' ,��_------,—'-
manufactured home Gauge (5)
Other improvements (6)
Total Improvements(line 4 through line 6)f (7) _! 1
To Total value (llne.3 plus lino 7)__— (8) __
1 hereby eonlfy the above Is true,Cornet, signalers of Nsee for --Dare signed(month,day year)
' and complete.
Venying act on-S.gnalure of... Dale aligned(menrn,day yeah
w u ' *'•STANDARD DEDUCTION ALLOWANCE
20 pay 20 Lesser of 60`1,,of the assessed vdue of the homestead or$45.000
.Votes lhslanding any other provision,the sum of the deductions provided in IC 6.1 1-12 to a mobile home 5
Thal is not assessed as real property or to a manufactured home that is not assessed as real properly may
not exceed one-half(f/2)of Oho assessed value of the mobile home or manufactured homy
Sgn era of tWdrisr r rl ,, - 1 e Data I sipnod(maun,day el .
.UJV�'h��rw�, m ���J Vl
DISTRIBUTION:Odg.no)-County Auditor,FtleStemped Copy-Taepayer
Page 1 of 2