HomeMy WebLinkAboutHomestead_Jones (24) 0 CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
4*. STANDARD/SUPPLEMENTAL DEDUCTION FORM
t HC10 --x:)2 j
Prescribed 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.
CERTIFICATION STATEMENT
I(We) CA. S ane_s . 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
Ded tiorl is hereby claimed on the date this application is signed, (date of signature). I(We):
Own. Li Am(are)buying under recorded contract.
Am (are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation.
El ave 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.
CLAIMANT'S INFORMATION
)
CONTRACT RECORDED
If boyieg us contract,Fee Simple owners name
Resorter's ufficn where contract is recorded Record number Page
PROPERTY DESCRIPTION
County Township Teeing district(city town,township)
Parcel number Legal denseptin" 1st property in question'
Real property Li Annually assessed msbile home(IC 6-1 1-7)
If any portion nt the msidentiai structure or fim land not ecceeding one(If acre that vnmediatelynurruu ds tti tstructure Is used to produce income,dnscnbe the see and portion
of the property otilized to produce income.
02-- 002- o
PROPERTY OWNED ELSEWHERE BY CLAIMANT
Li Yes No
I hereby certify the above statements are true,correct,and complete 4I •-7s,
-4--) •
Address of contact(ncnlber and otreet,city,state,end ZIP code) sale. -.nea scmber arid str citY.
ASSESSOR USE ONLY ASSESSED VALUE HOMESTFAD V,5LUE NON-RESIDENTIAL
VALUE
Land not exceeding one(1)acre immediately 1 :.'r , ',: t)'-i' '-..
Other land (2)
Total land(line'I plus line 2) (3)
Residential improvements or Dwell ng (4) I
annually assessed mobile( * -I,
manufactured home
Garage (5) ,,
Other imp ovements (6)
Total improvements(lined through line 6) (7)
Total value (line 3 plus line 7) (a) 41.
ihereby certify the above is true,correct, GIBSON COUNTY AUDITOR
Verifying antics-Signature of Auditor Date 51.' (month,day,year(
STANDARD DEDUCTION ALLOWANCE
20 pay 20 Lesser 0160%of the assessed value of the homestead or$40,000.
Notwithstanding any other provision,the sum 0(1110 deduCtions provided in IC 6-1.1-12 to a mobile home $
that is not assessed as real property or to a manufactured home Ihat is not assessed as real property may
not exceed one-half(1/2)of the assessed value of the mo 53 r manufactured home.
Signature ( 2°") Dale day year)
DtSTRlBUTlON Original-Cnuety Auditor.File-Stamped Copy-
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