Homestead_Manges � CLAIM FOR HOMESTEAD PROPERTY TAX YEAR..
t �., STANDARD I SUPPLEMENTAL DEDUCTION • FORM
y
j Poise w,n by U,73(R1a t ener
_s7 Reenta0 twee of Loot Conommeat Finance
HJSTRL 71ONS,See MOW..side fur Ming erstrustions, •
NOTE:Telephone,Social Snowy,dials Roues,stale idoneiratiuo and faded idanIlication numbers we mrilsierdial rem IC 6-1.1-12-37-
I(We) Mangos.Justin T/Alyssa D certify that I(we)occupied as my(our)prknrr pal
place of residence or am(are)buying the following described real property under contract for which a Homestead Property Tax Standard
Deduction is hereby darned on the date this application is signed, 03/2022 - (date off tali w). I(Wek -
6f3 Own. 0 Am(are)buying under recorded contract (
[] Am(are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation.
0 Have a beneficial interest in the trust or the right to occupy the property under the tame of a qualified personal residers trust
0 Am(are)the shareholder partner,or member of the entity that owns the property.
Ifbeyig on contract.Fee Simple muses rims
Recorder'.ogee where contract I.moorded Record rtadhe Pegs
Coady Town:did •Ta ng Cistnct(dly town.for adad)
Gson 021
.4
Perod number Lag.devipmhcn lie
le the properly In pus 'arm
' `//]�/\�
m Red peperty 0 Amway art a me (rc V
If any portion of the residential tunnies or the Ind rot e+mce Ing os(1)acre ast I mo:L r y sera nds gut sida..e is owed b ponce davos
gon d Ina property Weed b proica Ihmee.
zs,7-s,-zao.004 767 az, 0cues .. <6�2
Sew.,County.and Township Is dal.. t veeayng a htln
0 Yee ® ice 00,7,.. _ ,
• v+�a di.re. r
I hereby certify the above statements are drone,correct and complete. J. J,.fc�(� C
er Adr>s of aortae(number and Creel.city.roes.end ZIP made) JAddressa cot Nomad homestead_a any(nsnbererd thee;cry.ebb,end ZIPoocls)
9577 W 750 S.O'vi le,IN -)
�
ASSESSOR uSE C%Lv ..-,5 _ __..E hhO'.:ESTEAD VAE. . ,._ �cal LIC. .
Land not exceeding one(1)acre Immediately (1) _ _ -
surrounding residential Improvements
. Other lea (2) 141:'t`r° t 1:..,° ai A'r.-..}_
Total land(9ie I pops nee 2) (3) i s,
Residential improvements I Dneaeg (4) } Kph"t.MZ „7�tk t
annually arseasad mobile/r r Garage (5) w �y
rnenufact red hone tl �, v �y
Other Improvements (6) T;` ( 'ils. hi?`s€ v{�`."
Teed Improvements(sae 4 through lie 6) Cr)
Total vale(Rye J pfre Mea 7) (6)
thereby the above le tire.caner*
Slptias a Mammon, Date alined(moor,dry.tear)
Verifying action-Signature a Ardor Date died(month,Oelc)ear)
• a,-ArtiOARC:CEC_-='ION aLL...r....,..E-
20 pay 20 Lesser of 60%of the assessed value of the homestead or 245,000.
Nokolt rending any other pmhddon,the sue of, - ,' • ,provdod in IC 6-1.1-12 to a nobble hone S
Mat is not assessed as teal property•4.•a • .hone that not assessed as real properlymay
trot exceed wheaeN(1/2)at the: -I/ rrrarx6echned home.
ShOrhd+c a Auditor _ bets ifeni(maim. .yesn)
1..s . _ a 3o k22--
OISTRIBR/OR:angina-County Nadi.,File-9arVsd Copy-Taxpayer
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