Homestead_Karges (5) �ri.s�z1, CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
1,ik" i STANDARD/SUPPLEMENTAL DEDUCTION HC10 2020
�\� *. Sato Form 3473 till 1-20)
`-:M._ w Floscnbed by the Ocper'tncel Cl Lecal Gmenment Finance
INSTRUCTIONS:See reverse side far tiling bsstroclons.
NOTE:Telephone,Social Security drivers license,state idonhhca tion and federal idenb(cation numbers aro confidential under IC 6-1.1-12-37.
''...1.:.* x e, ".1,:. x;ea c ;,Vt,CERTIFICAT1OJ STASEfjiENV• :..`•- %' • • . .
I(We) Karges,Jeffrey certify that I(we)occupied as my(our)principal
place of reskience or am(am)buying the following described real properly under contract for vrhich a Homestead Property Tax Standard
Deduction is hereby claimed on the date this application is signed, 12/29/2020 (date of signature). I(Wo):
• Oren. 0 Am(aro)buying under recorded contract.
❑ Am(aro)entitled to occupy as a tenant-stockholder of a cooperative housing corporation.
❑ Have a benoticial interest in the trust or the right to occupy the property under the terms of a qualified personal residence trust.
❑ Am(aro)the shareholder,partner,or member of the entity that owns the property.
i Spoil Server),rumba d clamant spouse(cast ore dg.^.$) Divers termer lden%imme I Otser rexMer or claarcxtts meow(last ive Myra) &sang Sate
! (A)q'nsr.cr ore/4apta oanta apousa daea not tare a s¢ial se urny nurbes)
' , _ a CONTRACT 4a]if 147 •
r II buying co contact Fee Simp'%motes none
E�
Recorders Delco where canted is,JUed IRecord amber Page
^.:, s :.... ;+:7" ,.� ere, ;•a. I,.•,P -A'• -1P N .s.a.i '- • E',.. a-_-_.,� -
Co-mty Toxnslia Taring Cornet rely,tarn e.msNe) 7
11'
Gson 024 - • •
Pend rumba Legal desaipyan Its the property In eye4fm.
t
QRcl property 0 Annuasy assessed mefl a f-
it It any paten of Ole reJdmtal atceso or Da land no exceeding era(1)eve mat lmmelidery ssm:Ames not shut-tire Is used to produce mane,de_svn:s rile use end pi 020
of am property uutzed to oLeo Intorno.
( p 26-23-18-00-002-786-024
r v� r
Y���
1 ,- e,--",a r PROP,ERJY0111NED)ELStVJHERESBYC-•1 '•7 'X3 Y"‘a -AUDITOR
1
Susto.County,and Trmm�s?p Is da imant vawbrg a homestead) v U I TO R
❑ Yes ®No
r Slgn of anon!
(� I hereby certify the above statements are true,correct,and complete. //� �:,`"lr�'��
Address d=ads](natter ate sbeci.C/.S:abr,and JP code) rtddrt5sd sd.homeen If say Wont..rand greet d ve,i sa a:d DP:raze)
12589 S 40 W,Haub,IN 47639(new address 12765 S 40 W.Haub,IN 47639].1,hlISITOR
Land not exceeding one(1)acre Immediately
I surrounding residential iinprove meats (1)
iE..- $ }
Other land (2) •. 4
I.
Total land(lino 1 plus line 2) (3)
Residential Improvements or Cradling (4) DEc ?
7
annually assessed mobik I 2O�O
i manufactured home Garage (5) • j
Other Improvements (6) ,- p
Tonal improvements(line 4 through line 6) (7) ,IRS p r Co I
igb at value Vine 3pha lint 7) (6) 'V U�T'AUDIT
O HHrrinreby ea rtify the above is true,correct. Spat-Ire of Assessor Oate.rreitW.W Cps}tir) OR -
CV `' pd complete.
C 1n .g octal-Sign:Me ct:udimr D e SWISS na
0 - 9cp+ed{ del}-`1
1
.•A men W. ".�q r, • • • • W..r r•.. .......
•
3•.a, ?sew w (� o,-,�_pay 20_ Lesser of 60%of the assessed value of the homestead or 545,000.
t Hyt rithstanding any olrr_r provision,the sum c/me deduclims presided In IC 6-1.1.12 to a robe homy S
i ^- I'l is not assessed as real property cc toe manufactured hmw Nat is not assessed as real property may
�(,„i exceed aae-half(IQ)of the assessed value of the mobile bone or manufactured horns.
user W rard;tor, ` Oiler steed(mdntn,dry,year)
G rn --J IQ 3i-2.02gyp