Homestead_Stunkel (9)CLAIM FOR HOMESTEAD PROPERTY TAX
STANDARD / SUPPLEMENTAL DEDUCTION
State Fwm 5473 (R12 / 6-09)
'' / aresa;bea ny u,e oeDartrtrem w L�ai cm.ertmem Fire�ce
INSTRUCTIONS: See reverse sitle /a �ng instiuctions.
l�P�
FORM
HC70
�
YEAR
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��e) ' th I(� ed as Y(o ) Prinapal
place of sidence or am (a buying Ne following described real property for which a Homestead Property Tax Standard Deduuion is ereby daimed �
under mntract on ihe date is applinlion is filed, (date of filin
9� DEC 2 9 ZO10
❑ I(We) own ❑ Am (are) huying under recorded mntract
❑ Am (are) enfitled to occupy as a tenant-stockholCer of a cooperaWe housing corparation r�r
� Have a beneficial interes[ in the Wsl or the right to occupy ihe pmperty under the tertns of a qualified persorf Va le�d�t
•• • •
• ••� �
H brymg m mntrac� Fee Simple owneYS reme
Recordeh ottce where convaa u remNed Recortl num6rs Page .
..�. . � , �
Counry Township T' CiStrict (ci(y, (pwn. townshi )
Parcel number L al desaiption �, (p s/� Is Ne pmperty m question:
� — // E y-3- b � ProPertY ❑ AnnuaAy essessetl mod'le home (IC 6f. f-n
�7 any ponion d the regden�lal sWCwre or ihe WM not axceetli� me (7) aae Ihaf unrt�ediately surmunES tnac sN�re is used to p�odwe inmme, aescnbe the use antl ponion
of Ne pmperry uCSred to prt�tlure inrane.
prt tl
o1G=/9 3� aoo-6oa. 3�5'-oa�
-.. . , : . .
Counry . To.mship ' Caunb Tawnship
I hereby certiy the above slatements are We, correa and complete. Sg�wre ot daimam �
i
Address (num6er aM sheef, lily, state, entl LPmEe)
X 3s� E � �- >
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Land not ezceeding 1(one) acre Immediatey � ���<"���!{e: ��'��-5i����
surtoundin residential im rovements. (� 3� ��,
Otherland (Z) . }��n�� `^�
+=!�s7ti'� j'.}'•'�t'.-. -���'s.�,
Tofal land (line 1 plus line 1) (g� '
Dvreiling (4) ��°`�"+�4���''sr:s �s�i
ResitlenUallmprovemenborMnualty �.- `�+
Assessed Mobile / ManufacWred Hame Garage (5) . y`-�`�Y'S,ti,y`.,. �'�`'"-'*% ;'S-` �';
�r�t t�' � t <.-��-�5v���
Other Improvemems • (B) �'-3'L`d'' ��" -
�:_r��Y';?Y..�_�.s
Tatal improvemen� (Ilne s fhrougAline 67 (7) '
ToUI value (llrre 3 pfus fine 7) (g)
I hereby certity the a6ove is We, �ortect, SignaN�e of Pssessor � Data signed (month, day, yae�
and complete.
vaay�q aaor� - sy�n�re aa,a�mr Date signed (man/h. EaY. Yee�
� �.•. � � . .
20 _ pay 20 Lesser of 60% of Ihe assessed value of the homestead or $45,000
NMaitAstaMUg any Wherpmvision, Ne sum of the tletlucliw�c proNtled in IC 61.1-71 fo e mob�7e lpme Nal is $
nol essesmd es real properry or lo e manu/aUUred hana Nat k nof essessed as reel properry maY rm! exraed
one�haX (1R) W fha assessetl rdlueW Ihe mobi/e Aome ormanu7actured hane.
Sg�uture otAuditw � Date signed (rtimlh. daY. Y�