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Homestead_Muncy (2)
\t` CLAIM FOR HOMESTEAD PROPERTY TAX I YEAR STANDARD/SUPPLEMENTAL DEDUCTION FORM -. Pre Form (D18/1-20) Prescribed by y 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. w,t ,n CERTIFICATION STATEMENT I(We) 3-,ynn M /I U1-.1 C /Y/ul1C� certify that I(we)occupied as my(our)principal place of residence r am(are)buying the following descri d real property under contract for which a Homestead Property Tax Standard Deduction is hereby claimed on the date this application is signed, tv0IIG/a (date of signature). I(We): ar.UWn ❑ 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. ❑ Am(are)the shareholder, partner, or member of the entity that owns the property. . If buying on contract.Fee Simple owners name Record number Page Recorders office where contract is recorded PROPERTY DESCRIPTION D CountyTownship Taxing district(city town.township) GtbSo� �oknSa11 lil Parcel number Legal description I Is the props in question: I eat property ❑ Annually assessed mobile home /C V.f- �(e—Ig-3b- ?pp-m�,��,5-d ©tECaripPPtioL�22 g one(1) immediately surrounds � If any portion of the residential structure or the Ian not exceeding acre that ds that structure is used to produce income,tlescnbe of the property utilized to produce income 1 4tkiL 11644-1;114) �— Sic •LINTY A 1DITOR PROPERTY OWNED ELSEWHERE BY CLAIMANT 1 State.County and Township Is claimant vacating a homestead? d []/T.b.T❑ No n. v signartu^�e o m U,/, V yn- — I hereby certify the above statements are true,correct,and complete. ......7I`(G� Address of vacated homestead any(number and street.citytstate.and ZIP code) Address of contact(number and street city state,and ZIP code) C w anw• I ¶ tit ,,=r .af `I% - ,D7 1 �,• FGr-f �( Hct�bs r-acy4 -763`[ O ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL ASSESSOR USE ONLY VALUE Land not exceeding one(1)acre immediately (1) ,_ y surrounding residential improvements Other land (2) --- ---- Total land(line 1 plus line 2) (3) -- - — _ D Residential improvements or Dwelling (4) - - ---- --- N annually assessed mobile I I Garage (5) - manufactured home Other improvements (6) Total improvements(line 4 through line 6) (7) _ - Total value (fine 3 plus line 7) (6) - - - -- signed(month,• 'I I hereby certify the above is true,correct, Signature of Assessor Date day year) and complete. Date signed(month,day year) venNing action-Signature of Auditor STANDARD DEDUCTION ALLOWANCE 20 pay 20 Lesser of 60%of the assessed value of the homestead or$45,000. i Notwithstanding any other provision,the sum of the deductions provided in lC 6-1 1-12 to a mobile home $ that is not assessed as real(1/2)of the propertyproperty may assessed value of the mobile home or manufactured home. not exceed one-half �J�./ / / Date signed(month.day,year) Signature of "1 Y . - id/it./.2 a • • DISTRIBUTION:Original-County Auditor,File-Stamped Copy-Taxpayer Page 1 of 2 s',