Homestead_Karcher (2) : CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
STANDARD/SUPPLEMENTAL
37.
CERTIFICATION STATEMENT
I(We) 1&a tI certify that I(we)occupied as my(our)principal
place of residence or am(are)buying the following described real property under contract for which a Homestead Property Tax Standard
Deduction is hereby claimed on the date this application is signed, (date of signature). I(We):
XAOwn. ElAm(are)buying under recorded contract.
m(are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation.
❑ Have a beneficial interest in the trust or 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
If buying on contract,Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
PROPERTY DESCRIPTION
County Township Taxing district(city,town,township)
Parcel number%SO.() Legal description Is the petty question:
L,7Q Real property ❑Annually assessed mobile home(IC 6-1.1-7)
If any portion of the residential structure or the land not exceeding one(1)acre that immediately surrounds that structure is used to produce income,describe the use and portion
of the property utilized to produce income.
C
-- l()\—q —I01.--oo1. � 1-- 0 ,),g '
PROPERTY OWNED ELSEWHERE BY CLAIMANT
State,County,and Township IS claimant va tin a homestead?
❑ Yes ie
SiiMaimant
I hereby certify the above statements are true,correct,and complete. 1
0
Address of contact(number and street,city,state,and ZIP code) Address of vacate homestead,if any(number and street, , ate,and ZIP code)
1 1)
ASSESSOR USE ONLY I ASSESSED VALUE I HOMESTEAD VALUE I NON- ESIDENTIALVAL t 1"0
Land not exceeding one(1)acre immediately
surrounding residential improvements (1)
Other land (2)
FILED .
_ .
Total land(line 1 plus line 2) (3)
Residential improvements or Dwelling (4)
annually assessed mobile/
manufactured home Garage (5) SFP 1 7 2020 .
Other improvements (6)
Total improvements(line 4 through line 6) (7)
Total value (line 3 plus line 7) (6) 1 �/ Ai 1 f�ITO R
I hereby certify the above is true,correct, Signature of Assessor I f3 S O C O U r•T Dale signed onth,day,year)
and complete.
Verifying action-Signature of Auditor a signed(month,day,year)
STANDARD DEDUCTION ALLOWANCE
20 pay 20 -er of 60%of the assessed value of the homestead or$45,000.
Notwithstanding any other pr• ion,the sum of the deductions provided in IC 6-1.1-12 to a mobile home $
that is not assessed as real•••perty•r to a manufactured home th. ' not assessed as real property may
not exceed one-half(1/..•. e asse- ed value of the mobile • factored home.
wil)f
Signature of Auditor f/W4
Date sig ed(moot�,day,yew)
DISTRIBUTION:Original-•.only Auditor,File-Stamped Copy ;
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