Homestead_Englehart ` CLAIM FOR HOMESTEAD PROPERTY TAX
ei.'�' � STANDARD/ SUPPLEMENTAL DEDUCTION FORM I YEAR, i psi
••.`...,j o .. - ucca ._tier-meth=rsairl•
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INSTRUCTIONS See reverse side for filing instructions
NOTE Telephone.Social Security driver's license state identification and federa,oent;fication numbers are confidential under IC 6-1.1-12-37.
CERTIFICATION STATEMENT
I(We• 40 -'1/1At\ 5 e ' - _ sett f,teat I l we occuped as my our pencipa'place of
resde a or an,,are;buying the`o,o-.v rg des:-^ d reaprcpe y cortralt to A"-r a H:.-r u;eao Property Tar Standard Ded lice s he y c'a—ed on the
date Ms appilcat:cn s sgned 31/ibpq :rate_ a.-_
UI•c-:+- ❑A are ..y rig:, ce ___ :e:__ .s..
❑A r rare,ert t.ed to occupy as a tenant-stocvhcider of a ccope-a .e ._s -::'::'al:
0 Ha.e a be"efoal interest in tee trust or Ire right to occupy tie c__e , . _ _: a 3_, '.e_:',',..-a '_s.._ -e._s. '
❑Aim;are,the shareholder partner c e'rbe-or:-e enty tr a:car s: _c,e^,
l'I Buying on Contract Fee Simple Owner's Name
Recorder's O`f.ce'Attere Contract:s Recorded _- - Peso's\outer ,cage
PROPERTY DESCRIPTION
Courty
(2 00Sobi II
Faroe\umber I.ea'Description
OG-ao-al-itvrv_ a 3It40 01 Q‹.._. ^r_ac•r•s'a.e•ty...s.:r
❑er aid Asx, '.•_rise ramie.'C c 1 1.- � .
it arty conch or tee res dentla n.s r re or the lard not e.=eed rig cre'1 acre r - _:r .s. _- •Ss that sf'ctt. .,e s used to .,duce income des_' .he use and port or t
o•the pro.e^.y ut_zed to produce income
g(s , V
PROPERTY OWNED ELSEWHERE BY CLAIMANT N
State County and Township -t Vacating a uomesteadn 61
— — e - 1
--, _c-,....,
I hereby Certify Me above statements are true correct and complete - //.,�,..Dl
�..-1.�./ ,�:'-sc 'a _+Cur cia stare ardZ.a-' c
813s: 5-
ASSESSOR USE ONLY I ASSESSED VALUE I HOMESTEAD VALUE I NON-RESIDENTIAL VALUE O
Land Not Exceeding One(1)Acre Immediately (1
t..
Surrounding Residential Improvement
-- — — �d
Other Land
Total Land(line I plus line 2) } UN 0
Residential Improvements or I Dwelling a FILE
Annually Assessed essed Mobile I
Manufactured Home — — Garage : I
Other Improvements L-6, MAR 12 202' D
Total Improvements(Line 4 through Line 6) C. N
Total Value(Line 3 plus Line 7) !8: /'
S gra',a s•Assess_I a. .Y I /341 Care S^,^ed!date morn year: V
I hereby certify the above is true,correct,and complete.
GIBSONCOUNTY AUDITOR � I
Jerfy:rg action-S-gnature of Auditor Care S.gred hate mcrtr tear'
STANDARD DEDUCTION ALLOWANCE
2r Pay 2.
^.ot s f.stardmg any steer Liss„se the s..rr1 st ile coCuct:ors pro.c_o r _: '2 _ -,c e _.^a' S
Ch 0
s not assessed as real properly or to a ma^ufactured home'ha: s^Ot assessed as'ea prscerty-3,^c:
erCeed one-half 1,2;of the assessec,a,z..e of them c''e Diane cr manufacture..^ere -
S:graL•e cf Auditor gate Sighed ,ms,.�_ day +ea•
/As.‘.6 6tzek.A.40.„7„....„
}dIP
DISTRIBUTION- ;era!-Ooi.rt,A__r, = ..._ c__ - -assa.er
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