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Homestead_Reinbrecht (3) ... CLAIM FOR HOMESTEAD PROPERTY TAX ' i"i'L� iI 1 STANDARD/SUPPLEMENTAL DEDUCTION E FORM _ YEAR s! / Slate Fmm54/3IRIA .20/ HC10 Pe.Me ed by eh.Depannw nm nl al Local Gnefunmenl Fa a 111 2023 INSTRUCTIONS.See reverse sore for reap instruction NOTE.Telephone.Social Security driver'license slain Mpnitficaran and federal Idenb(cabon numbers are conrdenhal under IC 6-1 1-12-37 CERTIFICATION STATEMENT I(We) .__ Phillip Reinbrecht _certify that I(we)occupied as my(our)principal Mace of residence or am(are)buying the following described real property under contract for which a Homestead Property Tax Standard Deduction is hereby claimed on the dale this application is signed. 11/28/2023 (dale of signature). I(Wet Let Own. I I Am(are)buying under recorded contract. n Am(are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation f Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified personal residence trust I] Am(are)the shareholder,partner,or member of(he entity that owns the properly O/ 1/i Rerdet's office v:hnfe connect A reenrded _ � m Rer.. ml'ef I Page e_ 0/4 County. PROPERTY DESCRIPTION Tavnshp Fiume or•nq lady.form.township; Gibson Johnson Haubsladt Town ��� , qPetrel hwM.rt Lmynl des.'Vino, ,O Ir the fuorerty quesenn -... VV /` , 26-23-06-300-000.691-009 SUNRISE ACRES 13/14 D-9 ®RealpuMmn/ 11 Amwrety assessed mobile h,m.e(IC 6I I It any portnn el the roe d•.nlen sturlore nr Ih^Merl ml exceeding mite I I)arm Ihal nnlerhalnly sru,munfs that sbucbnn K used in pleduce mount,detail the m.•and to-don of UM amulpeuly:Meted to t•'u•1.t,.a aerate PROPERTY OWNED ELSEWHERE BY CLAIMANT Slate Cmnly,mod Tonnshp N/A Is claimant vacating a homestead? -- _ ... _ Yes r✓)No I hereby certify the above statements are Inre,correct,and complete Shrine d clam, A.kka»Nruaadl sand 7heN — _ - -..--- - _ end - odei Ma so of vacated haneslnad.deny(mmnber ear Sher. y stale.and 210cede) S .a \ ic....,, - n .._ • ASSESSOR USE Oi It Y l ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL Land not exceeding one(i)acre Immediately i VALUE L surrounding residential improvements (1) Other land (21 - Total land(line 1 plus line 2) (31 Residential Improvements or ---------- .____ Dwntling 14) -- annually assessed mobile f - .._ _ I manufactured home Garage - - --.; (51 -_ - -...- _ __ - ---. .--- - ------- — - Other ---"----- -----d--- (6) Total improvements Inn*4 through line 6) (7) --- - Total value plod 3 plus one n •-- (81 121 c.-g 1hereby eMify the above Is true,correctit- SePekae el Asseaw _,---- (VO end complete. Ome syrW(monfA deYKer)O .CV .`\;Q Vetdyag triton.Signalmen!haLt1 .. '' . .. i Dale Japed(rnonrh dsY peer) - t-1 I- H C 0 STANDARD DEDUCTION ALLOWANCE C__) O 1 20— pay 20 Lesser of 60%of the assessed vague al the homestead a S45.0n0. r , O0 U Ni,hwdrslandinrl any o6rer promsrar the alarm of the deductions pinioned in IC 6.1 1-1?ton itunide limn Z tfh-1 us slot assessed as real Mniterly a Icy av mnrrnlarheed lissome flint Is n01 assessed as teal n 5 LD_ O no!earned nun meta(r/?I of Ihn nssossal nelue of the mobile donee a nlnnu(acfurml rrom0 M porgy may co:Lik V) --. - ------.S:gnsii of AlmFifa -- --- m - 1►`Y--'•_ _-_ _____ _ ._. Dare `1�a) -1/c)2_3 --_ DISTRIa11TION�rhugmnl C,nnuly Anfikm M F, .Slnionnd Copy.Iaspain, , O Page I at 2