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HomeMy WebLinkAboutHomestead_Stading CLAIM FOR HOMESTEAD PROPERTY TAX YEAR 1 STANDARD/ SUPPLEMENTAL DEDUCTION FORM ----, - - OyHC10 ,.• - - re Ce:artme^t L'_a �'.e--r'!= a'- l.^isTRJCT(ONS See reverse side for filing instruct ons NOTE Telephone Social Security drivers license state identification and federa,,de.ntiffcahon numbers are confidential under IC 6-1 1-12-37. CERTIFICATION STATEMENT (bVe. 0 ♦ / ♦/ /l� Pert`y t a'I I:.=,occup•ed as ; our pr tic pa place of res deice cr a-(are;b.:y, 3 t'e`o�uJ.-n^saso ees�:,reea.property,rder co t a ..- a Hcme.stea:Prope.i Ta,Sla-dars Ded__ s __ ,_a-e r the th date application,s s vet // ,sL� (date of sgna:.,s .,_ ❑Ar(are,entrtedto occupy asater-a'-s'_ ' ::- :- :.-:: s:. . t.ehc_s-gc_'cc•slc Ha.e a berefc,a Interest Ir.the t:'us'_ _ - Ce s: :..,'e__s__-.. _-__'_e test ❑Arn(are)the shareholder partner,or mes:_ : :-__ _.. .1".:::_,-. I I'f Buying on Contract Fee Simple Owne's Name i Reco'ders O`tce'V,r ere Ccrtract s Recorded _ - --- Realm.%amber i Page PROPERTY DESCRIPTION County // \ Tcv.....- ,.... ..._ . .a'Ce•.urge- ':.ega.3esrp•or -/ -., a9?-la-d5-77?-1 G5B oa? ''',--,Se-, ❑A a6rAssessed uoke`•Te CE'.r I'any comer cf the res-de-'ha'stNct_re dr the land rot ee-eed rig Pre't a?e t-a- --.el s'r r s;--^: 15 I-a'st".:Ch.re s..sed to Produce.ncome descnb^_the use and port or o'the proce-ty at zed tc prod;.ce rcme PROPERTY OWNED ELSEWHERE BY CLAIMANT State County and To-.,-s': 7Un'a-t r _ I hereby certify the above statements are true correct and Pori,-- ... ..., ,. . -. •� m Pia? .n -r va 'on r f i ace-on IN 4 . ASSESSOR USE ONLY I ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL VALUE Land Not Exceeding One(1)Acre Immediately Surrounding Residential Improvement _Other Land i2 'LED Total Land(line 1 plus line 2) 13, 7f/ . Residential Improvements or i Dwelling i t4t Annually Assessed Mobile I APR 6 2024 Manufactured Home ' Garage '151 Other Improvements j(6; -Yip C Total Improvements(Line 4 through Line 6) -GIBSON COUNTY AUDITOR Total Value(Line 3 plus Line 7) .(8' _-. -_- o-_-a•_.o_.__-_ _ Cate S fined(date morM yea- - I hereby certify the above is true.correct.and complete Ver.Fy,rg Action-S.g^wore o'At,d to - _ Can?S gred da'e mCntr yea., STANDARD DEDUCTION ALLOWANCE 20 Pay 2C Lesser of SC'_of the assesses.; __ -•.. --: Not.:Rhstandrng any otner provls,Cr the sun of Ire deducf.crs proa P_c r 5-1•.•2-s_Too? : _'^a' is not assessed as real propert/or to a ma-ufactured Come'Cal s^c!assessed as•ea roce^y cy rst erceed one-had'1,2;of the assessed value oft moo''e home or mar faC.'ured=cme • ,Signature cf Aud,to• . - id, y DISTRIBUTION ;ra.-__. ,-._ - _ .Sta,-ce=:op,- a.caye' J °age 1 0l 2 C(..../..---;