Homestead_Bailey (11) CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
STANDARD/SUPPLEMENTAL DEDUCTION FORM
HC10 2022
CERTIFICATION STATEMENT
)We) BaileyLeah M/Neal D tr,,t •-nr eo.eri I.•,r111,11,11
place of residence c-ath(are,:-.,Lne:rz;the,folIcaemg descr cod real .mTe-t'entract wnch I-Idthestead PToLedy Tax Standard
Deduction is hereby claimed on the late this anew:at:0- s-:tnett 2/22/2022 •,!,,,waili,e) I(We)
Owe Am tre.be",'"g-nee' ,eccetett"c-traz-
Am tare)entitled to occur; as a to-a0t-stocxhclae7 a coo:term
Have a benelloal Interes, n the n:Iht n1r1.7e-t,e ty a cti.110.f,c1 per,cna residen,e trust
tared the shareholder partner or member 10 enr'y that cwns the oroperly
CLAIMANT'S INFORMATION
sox:, /•
PROPERTY DESCRIPTION
028
Pa,e, •
cr'eer.r,urerrrLe...1,...,1
26-11-12-301-000.723-028
PROPERTY OWNED ELSEWHERE BY CLAIMANT
ii.s eri
I hereby certify the above staterrems are true correct a^d cc-rot)e-e C1/41—COL-1"--
)
1803 W Midland Ave, P'ton, IN 47670
ASSESSOR USE ONLY ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
Land not exceeding one CH acre immediately
',. surrounding residential improvements
, Other land _•.
, Total land(line 1 plus line 2)
Residential improvements or ,1 FEB it 2 2022
. annually assessed mobile/
manufactured home Garage
I Other improvements Vh,reielL4U4' a.
Total tmprovements(line 4 through line 6) .7 GIBSON COUNTY A
I Total value (line 3 plus lone 7)
I hereby certify the above is true,correct.
and complete.
STANDARD DEDUCTION ALLOWANCE
' 20 pny SC . I ,
yde 7'
that to-nor aslc,sged os p/CA4,11,' A.A .! C ' I A A..
• 22'