HomeMy WebLinkAboutHomestead_Farrar" CLAIM FOR HOMESTEAD PROPERTY TAX
! ._n � STANDARD / SUPPLEMENTAL DEDUCTION
°. . � i: srate Fom, sa7s (R1z � s-os)
�a ���� ` Pmsnibed by Ihe Departmenl of Local GoverrvneN Firiance
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FORM YEAR
HCfO�
a ��
: GIBSON COUNTY AUDITOR
❑ I(We) ovm ❑ Am (are) buying under remrded convact
❑ Am (are) entltled to occupy as a tenant-srockholder o( a cooperelive housing corporetion
� Have a benefidal interest in the wst or the right to occupy Ne property under 7he tertns of a qualified personai residence Wst
•• � .
N�f daimant f(egal nam
Sptlal $
name)
4odal Sewriry numCri o� tlaimant's spouse (lav five tliges) Drivefs lirEnse I IdenG&aiion / ONer number Issuing State
of daimanYS spouse (Wst frve dqits)
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II buying om m�bacl, Fee Simple ownefs �me
Remrdefs ofire where mnVad is remrded Remrd numCer Page
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�nry Township Ta�ag tlisvicl (rily, rown, tounshiP)
Parcel number Legal EescriPtion Is ihe proPerry in Question:
� � Real pmperty � MnuaOy assestetl mobile home (IC &1./-n
�any poNa� W Ne residential 5irucNre w Ne la�b nol exreetling ane (1) atre that irtvnediatety surtountls Ihal sWCWre is used tn protlure i�rne, de5cri0e ihe use antl partion
t ihe properry utif¢eC 10 P�uce inmme.
a�-I9•o8- 400-Ool• D3D-�as
... . . : . .
Counry TovmshiC Counb Township
I hereby certiry the above statements are We, correct and complete. s na o daim '
ress(wmOeraMSfreeS�:state andZ�ode)� �� �
rT
� • . � • �
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Land not e:ceeding 1(one) acre immediatety 't �:t�>,�,r "�-.�`1-' '�"�"a�.e':=x
surtoundin reslden6aiim rovements. (�� �,`—''�" f3�'�.�` �`v " �X"'g'>�
Other land (2) ""i b'�`� ��. =,
Tatal land (Ilne 1 plus line 3) (3)
..�... �r,. � ;t�s,�„r$- i'f,; �s' r.
ResidentialimprovemenisorAnnualty ��ling (4) y�E�'� „��$, %�; }��.:
Atsessetl Mobik I Manufactured Home Gara e ' i� 3" ���rt`�"F� ��t �
9 (5) .>�-...x�z. k�..�E.ta.4'�:?b....
�t Y �4''.
Other impmvements (6) � s;���n�.•�.
7otal Improvemenb (line 4 through line 6j (7)
Total value (Ilne 3 plia line n (B)
I hereby certify the above is true, correct, Sg"a�� °��e5� Da�e SB^� (mrnth, day, yxar)
and complete.
vaiN�9 acam - sqnamre ot w,citor oate signed (rtronm. aar. r�
�..� � . • •
20 pay 20 Lesser of 60% of the assessed value of the homestead or $45,000
Nohvi(hsla�ing any o/her provision, Ne wm W the detluctions proNded in IC G7.1-1710 a rtabde fwme Nat is g
rwt assesced as real property or to a menu/eaured hrnie (hat is rot assessed as ieel property may not exceed
one-haH (i2J o( Na assessetl refue o1 the mo0de Aoma w manuhrlureAhoma. Q�
SignaWre dPUdltnr
Data "Y1 ��• V �