Homestead_Fettinger M1•+�. CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
d.i STANDARD I SUPPLEMENTAL DEDUCTION �fn
�! '• Suu Form sa 73(Ris1120) HCIO a3
' ,ss Prescribed by the Department of Local Government Flnarr n
INS rRUC TIONS:See reverse side for filing instnrctions
NOTE:Telephone,Social Security,dower's license,state identification and federal identification numbers are confidential under IC 6-1.1.12-37,
CERTIFICATION STATEMENT
I(We) A f✓ladviek Fig Hi:.n 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
Deduction is hereby claimed on the date this application is signed, tV' \ A 3 (date of signature). I(We).
Q Own. ❑ 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 terms of a qualified personal residence trust
0 Am (are)the shareholder, partner, or member of the entity that owns the property.
Recorders otaca where contract is recorded Record number Pege
PROPERTY DESCRIPTION
County Township Taxing dntrict Icily.town township)
Parcel nun-be, —_—._— Legal desehptron --_..._ 'Is the property In question:
-1.a-oi-I01_ooc(seii-Da-7 I 0�id properly ❑Annually assessed mobile home(IC 6.f.1-7)
It any portion of the residential structure or the land not exceeding one(1)acre that immedrately surrounds that structure is used to produce income.describe the use and portion
of the property utilized to produce Income.
PROPERTY OWNED ELSEWHERE BY CLAIMANT
Slate,County.end Township Is claimant vacating a homestead?
— — - l ❑ yes Quo ---
— -
-- — tagrtetura d Wmrtt-
I hereby certify the above statements are true,correct,and complete. AniAnOct. e-E-ei:Ptier
rhMress M contact(number end street,Orly,stab,end ZIP code) Address of vecetsd fMnesteed,If arty(number and street.city.state.tend ZIP code)
143 r) ... .,2_ s 'Ci n c rN. I-A) -1 7U
ASSESSOR USE ONLY I ASSESSED VALUE i HOMESTEAD VALUE ( NON-RESIDENTIAL
VALUE
Land not exceeding one(1)acre Immediately
surrounding residential Improvements ---1(1) __ _ __-__
Other land (2)
Total land(line 1 plus line 2) (3)
fs/
Residential Improvements or Dwelling (4)
annually assessed mobile I -- --'------- ---------- -
manufactured home Geroge (5) DEC 0 6 2023
Other Improvements (6)
Tool Improvements(line I through line 6) (7)
Total value (line 3 phi line 7) (8) yh,,./././ -, -11
I hereby certify the above is true,coma, signature of Assessor GIBSON COUNTY AUDITgleicnW(manor.day,yasr(
and complete. _
Verifying action-Signature of Audits --- - - Date signed(month.day year)
STANDARD DEDUCTION ALLOWANCE
20 pay 20 Lesser of 60%of the assessed value of the homestead or S45,000.
iNorwtthstandrng any other provision,the sum of the deductions provided in IC 6-1.1-12 toe mobile home S
that is not assessed as real property or to a manufactured home that is not assessed es reel property may
not exceed one•helf(1Q)of the assessed value of the mobile home or me facfured home.
—
Signaturo o1 dna Date signed I h.day.year)
(iti
DISTRIBUTION: OngtrW•County Auditor.FIIs-Stamped Copy-Taspeyer
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