HomeMy WebLinkAboutHomestead_Parke (5) .t � CLAIM FOR HOMESTEAD PROPERTY TAX 1rEnrt
((II • \l STANDARD/SUPPLEMENTAL DEDUCTION I FORM ;
•Hcto 1 I�42' .
�, , Snie Form 5413 IRIS 11.23) ----
`L / F'es:rated byte Doperme-1 or I.,C1 G::•errtra-t F earce
INSTRUCTIONS See teverse side for Ring instructions
NOTE Telephone,Social Security,driver s license.slate identification and federal identification numbers ate confidential under IC 6.1 1-12.37.
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CERTIFICATION STATEMENT
I(Wer I •t.id G. 'Arfk& cart?Ira!I(ae)occuped as my:ow,pnnapa'place of
ras de" 0'an(are)tayr,g I`e bong des_tad yea'ap'cp0T/urde':vita,for sst Cr,a Hore s'ees Pr:per./Tor Standsra Ded,:l cn.s hereby a Ted pn the
data s app:cal co s sgned 'V-�J— aZC/-.I (daa of s,nslure) I'Vie
O;•, ❑A.. ate S.,y-g urte•rec..tced:,cr:ra:t
0 All(are,e-dd ed la ccc'.py as a:enanhstoOhcIde`ea cc-petal re hos rg cc/coral:-Haie a be-etc e.ripest in lie boil or the ngn;tJ occupy Ire p•o;ecy urea:tra terms:1 a q.a''-,go pets:na'-es nice YLsl
0 Ain(are)the sha'ehdder parser,or memte•of the erd':y Ira)or.ns the property
CLAIMANT'S INFORMATION
CONTRACT RECORDED
'f Buy rig m Cont-act Fee S re;a Oxne's liar,
I•Rc:o•de,s Ohre'h*ere Contract s Recorded I Reca'd\venter I'a;'
PROPERTY DESCRIPTION
County Tcr.ns'sp 'Tarrg D's:rya luty to•':n 1-.-rshap,
G65orJ GIV I VAl6iPi Oob -Ca,a,aed/:� 3 au"AM 3a
sa-c •uroer Legs Des:'p'or �(I''1Cye prc1enl maaett cr
sZli-1 y 1-o7 Pr w s a 7 7,s I'135 1 t-7 Fan.Prup.•r 0/rr_al:)Assessed'/cWe ha-e I C E-t I'.
I'an/eoa.or ci Nt re;denba'S'.raciste or the is a no;ee:eed ng ere ri•a:re;natvnrrej�u]t4g,1 that sl•ucl'.te s asea to c vr'cdvca com+ ea scribe the use end port,
of lne proce'y.1 tad Io Fred.ca nceme w. `''11
pG-• vt- ol- L{oo-I.,ao. ‘5,_,- once
1
1
PROPERTY OWNED ELSEWHERE BY CLAIMANT
Slate Ccuny 1 rid ToxnsNp Is Ga'mant Va:a!'ng a' -me stead')
❑Yes A'
�- ea"a
I hereby certify the above statements are true correct and complete� . a_n ay,
..d eis of:cML'1 rr.' bar and*till e' !gate and 2-P ccd f •-die VI r a'ed lr'':'-es'esi I so/ r„'rber and street oty stale and 2•?Coca
j S S Ti tad la —30
ASSESSOR USE ONLY I ASSESSED VALUE I HOMESTEAD VALUE I NON-RESIDENTIAL VALUE
Land Nol Exceeding One(1)Acro Immediately (Il
• Surrounding Residential Improvement
Olharland !12' I T_ _- ��T�//TIIITT��^,,,yryT''' i. ']E1]I
TotalLand(line1plusline2) - 13) I ► �-��
; Residential Improvements or Dwelling I(4, I
Annually Assessed Mobile 1 I i I
I Manufactured Nome Garage (51 •
APR 2 4 2024
Other Improvements I(6) I I ( 11 a/
1
I Total Improvements(Lino 4 through Lino 6) I'I t Y22,aticGC a IL,m;?,„1)
Total Value(Line 2 plus Lino 7) 1(al I GIBSON COUNTY AUDITOR
15 gra:at.'-ssess:, !Dan S'gred(date 'rcn:n goad, •
I I hereby certify the above Is true,corroct,and complete I
i I
I`/enter.?Acton-Sty.elute of Aud[ct Date Signed'da N, meat" yeerr
STANDARD DEDUCTION ALLOWANCE
20 Pay 20 Lesser or 5C':al the assessed vat.e of(ha tier-es:ead:'342 OCC I '
— I S
INot,:ns(a:ldmg any oilier Frovts'cn me sum cf:r.e Cel.ct ors p'ar Old.n'C:I.!I•'2''%o mob.e name ma'
's not assessed as real proper,/✓(o a,'ra-ufactvreO tame!ha: s not assesses as real proper/no/rot i
1 e.eeed one•ha7(1,7)01 he assessed valed rome of the moe'e hems or nuTaclt.reome
r--_____ '-- IDanSgn (rro 'ta7Jci
/yeas,
DISTRIOUT'Oth Ci.rat-Courty A.COC' o:e-Sur•ceo::c/-Tascaye•
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