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Homestead_HInton (2)
Reset'Form 34 CLAIM FOR HOMESTEAD,PROPERTY TAX FORM YEAR STANDARD I SUPPLEMENTAL DEDUCTION r� r� Stele Form 54T3(R20112.24) HC10 2025 oikb Prescribed by the Departmental Local Government Finance INSTRUCTIONS:See reverse side for filing Instructions NOTE:Telephone,Social Security.dNve/s license,state identification and federal identification numbers are conridential.under IC 6-1.1.12.37. CERTIFICATION STATEMENT I(We)Kaitlen Hinton certify That I(we)occupied as my(our)principal place of residence or am(are)buying the Mowing described real property under contract for which a Homestead Property'Tax Standard Deduction is hereby claimed on the dale this application Is signed, 0:1/1 212 02 5 (date of signature).I(We): ( Own. O Am(me)buying under recorded contract. ❑Am(are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation. ❑Have a beneficial interest in the trust or the right to occupy the property under the terns of a qualified personal residence trust. ❑Am(are)the shareholder,partner,or member of the entity that owns the property. If Buying on Contract,Fee Simple Owner's Name Recorders Office Where Contract is Recorded Record Number Page PROPERTY DESCRIPTION County Township � _ Tanng Dis' town,township) pper�``/I Gibson P..e a l I ncisco 004 ©V�c Parcel Number -Legal Desorption Is the pmpery In question: ©Real Pmpery 0 Annually Assessed Motels Horse(IC8-1.1.7) If any potion of the residential structure or Use land not exceeding one(1)acre that Immediately surrounds that structure Is used to produce Income,describe the use and portion of the panpery utilized to produce income. 26-13-33-400-001.796-004 PROPERTY OWNED ELSEWHERE BY CLAIMANT State,County,and Township Is Claimant Vacating t Homestead? ❑Yes L.1 No Signature of Claimant I hereby certify the above statements are true,correct,and complete. ! , , Address of Contact(number end street oSy,state,and LP code) Address of Vacated Hort1ls nod,deny(awn berand street,city,state,and DP code). 4474 S 800 E Francisco,IN 47649 ASSESSOR USE ONLY I ASSESSED VALUE I HOMESTEAD VALUE '::.N"I=SIDL'TIAL VALUE Land Not Exceeding One(1)Acre Immediately (1) Surrounding Residential Improvement • Other Land (2) - ) line Total Land(line 1 plus 2) (3) Residental Improvements or Dwelling (4) Annually Assessed Mobile/ `� 1 ` Manufactured Home Garage (5) ,,1�R - - Other Improvements (6) • Total Improvements(Une 4 through Line 6) (7) W'.1)rUO R Total Value(Une 3 plus line 7) (8) G`n QDate SignedY (dare.month,yoa�• Signature of Assessor v I hereby certify the above Is true,correct,and complete. Verifying Action—Signature of Audtor Dale Signed(date,month,year) STANDARD DEDUCTION ALLOWANCE 20_Pay 20 Lesser of 60%of the assessed value of the homestead or S48,000. Noiwifhslenrfirg eny Other pmvls/ar,the sum of the deductions provided In IC 6-1.1-12 to a mobile home that S Is not assessed as real property or to a manufactured home fiat is not assessed as real property may not exceed (1P2)of the assessed value Of bile home ormanufadured home. n fff Sigrutu &Ma r / j ! •r A Dale slgr�d8/Qay f D � DISTRIBUTION:Original—County'(Auditor,FoeStomped CO�pl-Taxpaayyer I .:J�JL Page 1 of 3