Homestead_Eck (2) CLAIM FOR HOMESTEAD PROPERTY TAX
YEAR
4. ,�` STANDARD/SUPPLEMENTAL DEDUCTION FORM
•. 11- Stale Fomtu73(RIBII-20) HC10 2020
Prescribed by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions.
NOTE:Telephone,Soma!Security;drivers license,state identification and federal identification numbers are confidential under IC 6-1.1-12-37.
CERTIFICATION STATEMENT
I(We) Michael/Tricia Eck certify that I(we)ofxupied 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):
101 Own. ❑ 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 or the right to occupy the property under the terms of a qualified personal residence trust
El Am(are)the shareholder;partner,or member of the entity that owns the property.
If buying an centred,Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
PROPERTY DESCRIPTION
County Township Taxing district(ay,town,township)
Gibson 024 Johnson
Parcel number Legal description I Is the property In question:
12 Real property 0 Annually assessed mobile home(IC 6-0.1-7)
Irony portion of the residential structure orthe land not exceeding one(1)acre that immediately surrounds that structure is used to produce income,describe the use and portion
of the property utirsed to produce income.
26-22-12-300-002.742-024
PROPERTY OWNED ELSEWHERE BY CLAIMANT
State,County,and7ovmsNp k Is dalmant vacating a homestead?
❑ Yes ❑No'
41I A signature o • 1.nt / `
I hereby certify the above statements are true,correct,and complete. --; Aprr
Address of contact(number and sheet,eta stale,end ZIP code) ead,if any rranber and• - city,state,and ZIP code)
0 W,Haub,IN 47639
ASSESSOR USE ONLY I ASSESSED VALUE HOMESTEAD VALIhi NON-REASIDENT1AL
VE
Land not exceeding one(1)acre Immediately -
surrounding residential Improvements (1) � .
Other land ..1
(2) t
Total land(fine f plus line 2) (3) o (l
r
Residential Improvements or Dwelling (4) ^
!°t�➢5�
annually assessed mobile/ S
manufactured home I Garage (5) (\C` e(0
Other Improvements (6) - - P,JO\
sk
Total improvements(line 4 through line 6) (1) O0 -c
Total value (fine 3 pis lire 7) (8) al o G
I hereby certify the above is true,correct, Signature `� nth dJ Date signed ,day,year)
and complete. O
Verifying action-Signature of Auditor ate signed(month,day,year)
STANDARD DEDUCTION ALLOWANCE
20 pay 20 Lesser of 60%of the assessed value of the homestead or$45,000.
Notwithstanding any other provision,the sum of the deductions provided in IC 6-1.1-12 to a mobile home S
that is not assessed as real property or to a manufactured home that is not assessed as real property may
not exceed one-hag(1/2)of the assessed value of the mobile home or manufactured home.
Signature ofAudtter Date signed(month,day,year)
Sherri Smith (CJB) -- 10/2/2020
DISTRIBUTION:Original-County Auditor,File-Stamped Copy-Taxpayer
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