Homestead_Speicher CLAIM FOR HOMESTEAD PROPERTY TAX YEAR I '
11
,:a FORM STANDARD!SUPPLEMENTAL DEDUCTION Hc10 2020
Wale f ore ben lR del i3e1 --
Prescribe.Dr the Depnmenl el Local Covert,.finance
INSTRUCTIONS See in erse side for fifmp In Sl'uclrons yy
NOTE Telephone Soon!Security,dnve,S license,sate telentLCarron end letteralldentfcebon numbers are conndenbel under IC 6-1 Y-17-37 R
CERTIFICATION STATEMENT
I(We) Chad 8 Deecee SR@Icher certifythat I(coo)occupfad as my(oat)principal
place of residence or am(are)buying the following described real props d r c tract I r which a Homestead Property Tax a andard
e2 1orL� (date of signature). I(W(
Deduction is hereby claimed on the date this application¢signed, l���_)!n+Q-1-+� �°
t>a Own ❑ Am(are)buying under recorded contract.
❑Ant tare)entitled to occupy as a tenant-stockholder of a cooperative housing corporation le
❑ Have a benegnal interest in the trust or the right to occupy the property under the terms of a qual'fied personal residence trust
❑Am(are)the shareholder partner or member of the entity that owns the ptoperty.
Il buyng an control Fee Swept avmet'a name
1 Reconfees Oka wham contract a recorded Reeerd number
Pape
PROPERTY DESCRIPTION
Township Teung dsmcl tont Iowa...Old,)
Gibson Oakland City Gibson,Oakland City
Parcel number Legal detmplwn III the prop nY o al.asIton.
LtSR a p Y ❑d. a,y assessed noble home"C 6-f1.1
26-14-18-104-000:239-007 J M COCKRUM 9
i try pas,.of the ten:deal al swdare ofIns lane not esceedne one in aeveV.I im+ndalaH surrounds that etvw•e c b"elf 1p p-duce mrnmed...cdeo Iris vse mdpaMa+ ,I,p
of Ine property ul'aed to produce mccme
I
',..pi+ t„¢ ,g ;;, „_ , _ •r PROPERTY OWNED ELSEWHERE BY CLAIMANT t
dale Ce n:t end To-1,OP p Is cialmant vacating a homestead) i
I r Yes p Na
Indiana,Gibson,Oakland City _we —`1 I
f I Ito eby certify the above slatomonia are true.correct,and complete 4 � �C�S,l t t !
I ndere,:of nonfat! O;ned,r and steel coy slate,and La code) a...Iv Cale noneN wed it (number and:heel.Oy dale,end Zm dedel
215 W Vine St.,Oakland City,IN 47660 10710 E 5 S.,Oakland City,IN 47660 I
'- ASSESSED VALUE I-'>HOMESTEAD VALUF {`.. NON,RESIDENTIAL.
>., ASSE650RxUSE ONO. . VALUE' (
'Land not amaeding one(1)acre Immddlalely (i) I
surrounding rasldentiaf Improvements )
IOther land (2) 'I
- _______\
Total land(line T plus llne.2) 13)
F- 4
Residential Improvements or Dwelling (4) --
)annually assessed mobile/ Garage (5) _._.
manufactured home -'_ 1
Other improvements - -.
Total Improvements(line 4 through line 6) (7( -,._,_ —...-.-.----- —•------`
Total value(Une 3 phis line 7) IR) -�_.....
_ _._. Stele[time th'sJnfh.day.;cart
S�pralem of A,stssortlar
I I hereby certify the above is true,cortecL j.
andcomplete. .-_...-._ ..---_._.,__
_ _ DeM sifted me.ah de?pear}
J(vent/mg aeon-Stg'ahae arALwAor
STANDARD DEDUCTION ALLOWANCE 70___pay 20- Lesser of 60%DI the assessed viilue of the homestead or$45.000, I
NehvthClanddtg any other proviso,the sum of fhe do'd.m ns p'dv dad in tC E Y Y l2 to a Mlnb.le tome , 6
Mal is not assessed as teat property or to a manufactured home that is net assessed as real property may
not exceed One-half(tI2)o/the assessed value of,he moth%[home or manufactured home _ pal.c;9nad(re..,xlN day,rase!
[ .);.-,,,__..._. �ram'?
DISTRIBUTION:a"pea C n/Itae!ce F,e-Stamped Cape•TasPe aYal n'
Page 1 at 2 ;�
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DEC 2 8 2020
...iikeht.
GIBSON COUNTY AUDITOR