Homestead_Schraner (2) ,l
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CLAIM FOR HOMESTEAD PROPERTY TAX I YEAR
STANDARD 1 SUPPLEMENTAL DEDUCTION FORM state Fe=5a:'3(RIB t•2D7 HC10
2020
Pruscnbed by the Department of Lzoo,Government Pearce
INSTRUCTIONS See reverse side for riling rnstructlons. r
NOTE Telephone Socta Secunty clover's license slate rdenGfcahon and federal identification numbers are confidential under IC 6.1 1.12-37
CERTIFICATION STATEMENT
` Ipie) Chris Schraner certify that I(we)occupied as my(our)principal
I place of residence or am(are)buying the following described real pro arty under aintra.ct for which a Homestead Property Tar.Standard
Deduction is hereby claimed on the date this application is signed,,~- 'c 4) (date of signature) I(We):
1 2 Own. 0 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
I O Am(are)the shareholder, partner,or Member of the entity that owns the property.
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�9cctaf BaCunYy number ol claimant s spouse(.act Fro Tyttg)$Diver s._Ltonsa t f e-dtiSgdt+on x Other nvmtraz ar tarprr3nrs a __._�
pause hair hr�dg�t (lstu�^q 4at=_'
(Aeo&rooWe only,!ap,,cams obcese does mg hair a racial secwity mambo,I i
1 •
" '-Y, :'`';-- y.'`..+- • • , ° CONTRACT RECORDED .
i it bevels en contract,Fee 5 Sep'a owner's name
i
Recorder's once wherecontract n!noodled Rrn co number 3 page
, . PROPERTY DESCRIPTION
j Candy I Tovmsh+p l Taring district(city,town township) '
i Gibson !Center Gibson, Center
ateet nues+'sa i .nal description -'is eau prepptt •n auer:We _._ ...
i 26-13-21-300-701.824-004 Bldg On Lsd Grd L./Real pmpeny 0 Annua iy assessed motile t•oma;,C 31 1-74
u ny ptrn on of tie resident at shuctute ui Na land not one(1)acre tt,at immediately surrounds that structure rs used to costa interne describe to use and pa+%sx
1 at me-property utilized Is produce internee
I
t
``''4"ry'44.. 'r"rr s •a-•' ',° :PROPERTY OWNED ELSEWHERE HY CLAIMANT
-`Stain County,end Toxstsit+d
Is claimant vacating a homestead?
Indiana,Gibson Center ; ❑ YessNO
s9na<ar, t c a merit
I hereby certify the above statements are true correct and compete -
+ddress or contact{numbw and afoot c.il,irate,and ZIP code.1 ..._ ...-:I
y Address of homestea• t any inwnher acid semi:-clir slate,and Z Fcs-da:
2254 S 750 E,Francisco, IN 47649
ASSESSOR USE ONLY ASSESSED VALUE 1 HOMESTEAD VALUE NON•RESIDE'NTIAL
VALUE
Land not exceeding one(1)acre immediately tt)
surrounding residential improvements t
Other land 21
Total land(tree 1 plus line 2) (3)
Residential Improvements or 1 Dwellingl 4 _ I
annually assessed mobile! — O — 'r ffI
Manufactured home Garage (5) I W IOther Improvements i(6) i y f-D E L 3 0 2020
Total improvements(line 4 through line 6) 1(7) a i 1
Total value (tine 3 plus line 7) l(a) C 1 •
I hereby certify the above Is true,correct, i srgnatc a Wassess.^r Date signed ;e ;
and complete. 1 1GIBSON COUNTY AUDITOR
Vtey rg net at:.S.ynntearo of p,.... I N%signed;month.day,year)
STANDARD DEDUCTION.ALLOWANCE
20 _•,_ pay 20 Lesser of 60%of the assessed value of the homestead or S45.000. , f
} NM..?nst rr thrq any outer pmns in.the Sam of Inc ii9ducuans provided to IC 6-r 7-72 lea tnotrrle home € S
Mat Is not arse Sseo as real property Of ho a m.anota.fared home inat is ncl assessed as mai property may i
not ercerrd ore r-It;1r of trio assessed ea!ae of the mohr,e home or manufactured home
S.gn.'can el Auditor 1 male ssgnee(month day year) -'•.'",___..__i
r
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DISTRIBUTION Origma,•County Auditor riln-SiarrtpnS Copy-Taxpayer
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