HomeMy WebLinkAboutHomestead_Kramer (4)CLAIM FOR HOMESTEAD PROPERTY TAX
._ � STANDARD/SUPPLEMENTALDEDUCTION
` Stata Fam %73 (R73 / 12-09)
� � Piesaibed by the Depar6nent of Lacal Govemment Fir�ance
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INRTRIICTIl1/J.6 Raw mvarsw dda !nr Flinn ine}nu.linns
FORM
HC10
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I (We) � + certifY � ( D��°Pa�
place af residence or m(are) buying the following described real property fa which a Homestead Pmperty Tax Standard Deduction is hereby daimed
�er contrad on the date this appliration is filed, (date o7filing). I(We): DE C 9 20 � �
Own ❑ Am (are) buyirg under recorded contract C � —a—
� Am (are) enUtled to occupy as a tenent-stockholder oi a cooperative housing corporation
❑ Have a benefidal interest in Ne Uust or �he right to occupy the property under the tertns of e qualified p�r����yLder��eT�Y AUDITOR
❑ Am (are) the shareholder, pariner or member of the entity ihat owns the property. �
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��ada �c��)
soam se�witr
� � / of daimanl (lesl five digits) � / � �
tJ2rt�90/d8Y1�2nt'S (k`gB�IWn )
Sotlal Seairiry numher
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If buying om m�tracl, Fee Simple owners �me
Remrders office Ww.�e contrarl is Rcorded Reoord numher Page
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County Tavnship Tarin9 distrid (dty, town, township) �.
Parcel number Legal tlesaiplion Is the proparty in Question:
lO.q 1,�
'� � 7- 3— ❑ Real poperty � Mnualy essessed mob0e home (IC 61.7-7�
IF a�ry portion ot ihe fesidential structure or the IaM not en�eding one (1) aae that immediatey surtounda Nat sWfiure s used m produce �corne. tlewiba Ihe use aM portbn
d Me proparty uti�e0 10 produm �xome-
� -19-0 7 - 3 00 -000.5� o�-S
•.• . .: . .
Counry Twrt�ship County TwmsNp
I hereby certify the a6ove sfatements are We, correct and complete. Sig re ot daimant
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(numDeraMSnee�dry,staro.andjlPOOda) �� (1 , � /' -7'^ �%
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� Land not exceeding 1 (o�re) acre ImmedWtely �' " �,��w�#-���' � � 'n �z, �;
surtoundin realAenUalim rovemenis. ��) ��:x -�."^.:�� .-� .�:^�": ¢
4 � �� a�
Other land (2) i �- „"= '�,°:_
Totel land (lirre 1 pluslilre � (3)
,lir.%'i�>J%.�% �TyJ Lt•S'Y
Reside'rttal fmprovemenis or Mnuafly �Iling (4) . �+- � �,?� ,n:�� „
A�sessed Mobile I Mamda�tured Home ��9e �5� *�-a��.�i � i[i `, `�"z� �A ;.
- P�..,�.s,�,2.,� �-a-..t
r � - --
Other Improvements (b) i "' -��, � �,-°�'�.�r . �
Tofal improwmeMS (firre 1 Nrough line 6) (7)
7ote1 value (Ilne 3 pl`s line 7) (8)
I hereby certify the above Is We, correct, �9�°�re ofl�sseswr Da�e si8nee (monM, deY.Y��
and wmplete.
Verify'vg acfion - S18�aNre o(NMitw Date signed (rtnnN, daY Y��
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20 _ pay 20 _ Lesser of 60% of the essessed velue of the homestead or $45,000
Nohvifhsfarding eny otherpavision, the sllm W fhe deduIXbns piovided in IC 6-1.1-12 m a mobile fame that is $
not essessetl as real poperty w to e manWaUUrad home Nai is nof assessed as reel pioperty may nof exceed
o�enen (�21 an,e es.mssad Ven,e ame � nome o.manuracrured r,ane.
Signahue of /Wdilar Date 9gned (month. daY. YBaA
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