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Homestead_Maier (2) 45 4LfirNr rvriz rav[vrrra I COAL, rrzvs-cn I r I r►.rr. FORM veAtt ' .1 STANDARD / SUPPLEMENTAL DEDUCTION 2020^T Ind.d1� '> ti, State Form 5473(R18 i 1-20) --- Prescribet3 by the Department of Local Government Finance INSTRUCTIONS:See reverse side for filing instructions. .NOTE:Telephone,Social Security, driver's license,state identification and federal identification numbers are confidential under iC 6-1.1-12-37. ..`1 .Zi''``.d ,: ° "zr ;114, ' h, ti-v '»'eP 00,4t10,.. ._Ti 1•EME:01 ter. .` Wa ..:, % , ''„ .„.'. .., w. "`6. ,;a , I (We) Herman Paul Maier Ill & Jaquelyn D. Maier 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, I j)-- /•'--Z C (date of signature). I(We): IA Own. ❑ Am (are) buying under recorded contract- 0 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. ❑ Recorder's office where contract is recorded Record number Page iA RI - ..., ., - �. 3 x ;:'L. ,,;'r, PRbPERr 1_SC _PT10N . ... �: r. --.- �4 ; 4, ;.."w, County Township Taxing district(city,town.township) Gibson Wabash Wabash Parcel number Legal description Is the property in question: ' 26-16-21-300-004.002-023 [ki Real property ❑ Annually assessed mobile home(IC 6-1.1-7) If any portion of the residential structure or the lend not exceeding one(1)ace that immediately surrounds that structure is used to produce income,describe the use and portion of the property utilized to produce income. ✓ 1 . , - a &I..1 .- ai �,OwN r * ssE p ,�'y .rir ...� _. _, ... . 'S' ''S�.�P�UUC:E![la F-S7■Y�f,LGQ-�"LA�}l �-n4����i �, .,_. )_. "a. _ � .., Stale,County.and Township f 31500/ 409 w3, /I11. Vernfog IAr' Lf7(p20 Is claimant vacating a hornectead?- P 5 7 frc fed is/I9 ❑ Yes ❑ Ng Signatureof claimant ,r/ I hereby certify the above statements are true, correct, and complete. / � " f cf/ Address of contact(number and.street.city:stale,and ZIP code) Address of vacated homestead,if arty(number and street city,state,and ZIP code) I 7102 S,1675 W,Gritfin,1N 47616 . ASSESSOR`SEONNtYi ' a k. P 'A.' aSESSEDVALiE . tp14E 7�VALi E.. "; `hPN � F -'-= , . 1 , a1 Land not exceeding one(1)acre immediately (I) surrounding residential improvements • 1 4 Other land (2) I 4E .II Total land(line I plus tine 2) (3) I Residential improvements or Dwelling (4) OCT 09 Z0lU annually assessed mobile 1 .>..-._ --_ -__-. - _ _.._...._._ _: _- -�_- __--_—_- Garage1 manufactured home S (5). I ' Other improvements (6) i GIBSON COUNTY A R Total improvements(line 4 through line 6) (7) Total value (line 3 plus line 7) (8) Ihereby certify the above is true,correct, Signature of Assessor Date signed(month,day,year)