Homestead_Heldt (2) 1W f
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10
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CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
. 1:),, STANDARD/SUPPLEMENTAL DEDUCTION FORj
M - -teisarameao(Rtnu2Dl HCIO 2020 _
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Pro,urbadby too f7epsnmenl•llocr0awmmsnlrhino
INSTRUCTIONS.Ses/ewnl end•for nhng,nsWd(One �_
NOTE Tp/ophono,SedalS•curlry,dnvaraIcsnee.afihnilnbnaoton and tldlntldanhngetanadmDloueconfdenlal under IC0.1-1.12.37.
Critflrhlnll Cir)31nn'LII NI •
f(We) Marcy&Lauren Heldt amity that I two)occupied as my(our)principal
place of residence or.m(arc)buying the following described red property under contract for which a Homoatsad Property Tax Standard
Deduction la hereby claimed on the date this application Is signed; Y1 /el Ina to (dale or signature). I(We):
m Own. ❑ Am(aro)buying undor recorded contract.
❑ Am(era)entitled to occupy as a tenant•stockhoidor of a cooperative housing corporation, •
O Have o beneficial Intorost In the trust or the right to occupy the property under the terms of a qualified personal residence trust.
O Am(ore)the shershoider,partnor,or member of the entity that owns the property,
Recordor•clew Will,,co0Uct Is r•soroad (Record number -Pegs
IltOPLir I Y OI:SC1211,7101i .
Won y Taemshlp Twang rile dd lacy,town,township)
Gibson Johnson Johnson
Primal number Logan dascnpbon Is DU property In question•
26-23-16.100-002,172-024 PT NW NW 18 4 10 1.704 AC ®new property ❑ Annually es lemma mobil home(IC C•l:1•7)
[Tony porton of ma',Mantis)awatun or Ma tend not encesding on•(I)acre Mot Imnrdletsy surround,That structure a used to produce income,dumb@ the Ulf and porton
ofths pnp@rty Wald la produce Income.
PftOPLIt IY OWNCIJ EL SI?V/I IS1lU.[IV.CLAIf:nir
Stale,County and Township Is claimant vuaung a homestead?
Q Yea ca No
Signature of cis Tani
I hereby certify the above statements are true,correct,and complete. /, Vau. ., * -,,'1 eie .,. ., , ,, . ,;'
Addnu of contact(numbs end afar,eery,aloftend ZIP coda) Addre,1 o*stilted homestead,(I any lnwnbarend rind,sty Oslo,and ZIPada)
1535 E 1200 61,Haaubstadt,IN 47639
n:iSf S�UFt USf•ONLY A$St.SSLU Vnl_UI' ) Fi(Jtr&,1S/it)VALUL I NON RCSIUEN11AL
VAL.LI l'
Land
a rH dinthil jmp!y:!)Immediately (f)
pi--re-
Other land (2)
Total land Vino I plus line?) (3) - L.1 E D
awaiting Residential Improvrrleme or (4) �+-P
annually assessed mobile/ SC
manufactured home °stage (6) 2 t2A 20?0
Other improvements (6) -
Total(mprovementa(llrte 4 through line a) (1) G/g� 4,..--,,--- iONC %4�
Total value(!!n• ghee line 7) (e) OUP.
NTy A tl
Signsters of Assessor Oats signed(month,day yea?
I hereby certify the above le true,correct, (TOR
and complete.
Data signori(month,day,ye•n
Veifying action•Signature ofAudair
•
.ilfil$UnUU E)LUUC ItOH ALLOY/At/Cr
20 pay 20 Lessard 60%of the aaso aed value of the homestead or$46,000,
Nolnifhetrnding ony other provision,fho sum of the deductions pmv/dad In IC 0.1.1.12 to a mobile homy $
thst/s not assessed tor rmai property orfo a manufactumd home that la not assessed as mat property may
non exceed one ha11(1/7)of the WWI eatvaluo of the mobile home or manufactured home. ,
Manske of Auditor Cats signed(month,do,year)
Q _ a' c o .
oieTAteuTION:Ong nal•County Auditor PAs•Slsmpsd Copy•Terpsy/r
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