HomeMy WebLinkAboutHomestead_Geuss tr44C4 CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
STANDARD /SUPPLEMENTAL DEDUCTION o
�• State Form 5473(R13/12-09) )
Prescribed by the Department of Local Government Finance ■■
INSTRUCTIONS:S-- reverse side for filing instructions.
/� - - ,CERTIFICATION STATEMENT . . °-- •
I(We) inn!7M, x / i' certify that I(we)o ied.as rirlF.lpal
place of resit- ce or am(are)buying the followin.(escribed real property for which a Homestead Property Tax Standard y claimed
under contract on the date this application is filed, (date of filing). I(We): GIBSON COUNTY AUDITOR
❑ Own ❑ Am(are)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 terms of a qualified personal residence trust
❑ Am (are) the shareholder, partner or member of the entity that owns the property.
- -,.`_ ._... 7r r-' _.� �_ Zi `s: CY_r�IMANT_S:INFORMATIONt:.' . �>!i�•
' .
If buying on contract,Fee Simple owner's name
Recorder's office where contract is recorded Record number I Page
.¢ rf s "= "- PROPERTY_DESCRIPTION+,_._-. _ 4; 4T, .4 • -
County Township Taxing district(city,town,township)
Parcel number Legal description (Is the property in question:
Real property ❑ Annually assessed mobile home(IC 6-1.1-7)
If any portion of the residential structure or the land not exceeding one(1)acre that immediately surrounds at structure is used to produce income,describe the use and portion
of the property utilized to produce income.
_> ., _ .• ,,yt -- - PROPERTY OWN_E_D BY CLAIMANT IN,OTHER�.COUNTIES _ _ -_.�.. _,-s. ,_a --& - - _
County Township County Township
I hereby certify the above statements are true,correct and complete. Sign
)C o aimant / /
Address(number and sfree4 city state,and ZIP code) •
- (0 N CfR?The& S red /? Aic.670^o /,v 177/o 7a
ASSESSOR USE ONLY < TRUE TAX VALUE ASSESSED VALUE HOMESTEAD NON=RESIDENTIALrC
- IATz.100%.0 F-T:TV is a., VALUE_ _VALUE _ -8 "•P
Land not exceeding 1(one)acre immediately
surrounding residential improvements. (1)
Other land (2)
Total land(line 1 plus line 2) (3)
Dwelling (4)
Residential improvements or Annually -.
Assessed Mobile I Manufactured Home Garage (5)
Other improvements (6)
Total improvements(line 4 through line 6) (7)
Total value (line 3 pits line 7) (8)
I hereby certify the above is true,correct, Signature of Assessor Date signed(month,day,year)
and complete.
Verifying action-Signature of Auditor Date signed(month,day,year)
• -_, - STANDARD ALLOWANCE - _ _ _ _ - - -
20 pay 20 Lesser of 60%of the assessed value of the homestead or$45,000
Notwithstanding any other pro vision,the sum of the deductions provided in IC 6-1.1-12 to a mobile home that is $
not assessed as real property or to a manufactured home that is not assessed as real property may not exceed
one-half(1/2)of the assessed value of the mobile home or manufactured home.
Signature of Auditor Date signed(month,day,year)
•
r rt�� t CLAIM FOR HOMESTEAD PROPERTY TAX
• CREDIT/STANDARD DEDUCTION °��
\•. J State Form 5473 (RS I 10-01) !� \�•
Prescribed by lhe Departmenl of Local Govemmem Finance � ti
1
FORM �YEAR
HC10 � /y� �
lY
INSTRUCTIONS: See reverse side lor �ling insf�ucfions.
��1��i±'F> `.'�'n:?���+�'y+rTi'r:�',+- `'�x,=�3'°.;.,_CERTIF.ICATION�S TEME `tz :._.."':9`; -.�,..�a.�. s -ur'... . -.. -
�(VJe) � �S certify that on the 1st day of March, 20_
I(We) occup d as our principal place of residence Ihe following des � ed r property for which a Homestead Property Tac Credit is hereby daimed:
❑ 1(We) owned ❑ Are buying under contracl
�ave a benefidal interest in ihe entlty iha[ is liable for the property taxes on the property and that owns lhe property or is buying under a contract.
't,.Ir-.',�,�r�'�!5.=i��'tr,���a..t�f`�'�—,'—_'�-��:s,".`.�n',`s�.,(3�<CONTRACT.;RECORDED.a;',,c. Jt--f,z-.:1,�.,r?+ycTR. Y� . G., .:�„` . �:�i�=, _ ' '
11 buying om m�traa, Fee Simple owners name �
Recordefs ofice where contrad is recoraed Rewrd number Page
Tavnship
P�ar gI bern5 q Legal description Is �he O�operty in question: �
(L� -�7 0 d`��-00 ❑ Real proPerty ❑ r.woae Ho�„o ci.c s�+. a-»
I( any portion a� Ne residential sWCtura w the Wntl not exceeding one (1 � ave that immetliatety wrtounds �hai sWCture is used lo produce income, describe the use and portion
of the property utilized tn produce inwme.
i,"",,,,�'°;�-��Y�?.�.�.,;,,�.r�- �b??:�FROP.ERTX:OWNEU�.BYCLAIMANT.IN'OTFIER`COUNTIESs's-_`„_ s� ?' ^����"t � �
_ -ii"e'.'� , r »_�. % s 3'„+S' � .*-;`
County Toxnship County Twvnship
I hereby certify lhe above statements are We, correct and complete. Si n daimant
( erarM street, " , sfat ode)
� ��'�-�'"��� `-�" ���� 3is"4 �� 'rt' '�' v�. ASSESSEDtVALUE ��HOMESTEAD � � 1 NON-RESIOENTIAL'�Y� �
� ��.��ASSESSOR USE,ON.LY �� r � �'-y� i A'�'�y� E�-;`.��'i �' iATy100% OF TTV � ? i°.EVALUE��: ��'���Y ._a-t-. `�VALUE�� ����
'.vJSxczK.L'.�'s;.''r"�.?',.?i�e!��R,.",-�,,,_�:t-�,. .� r�... ie.x.7,c..-.4,
Land not exceeding 1 (one) acfe immediately ( , -t ���, `' '�`v- � �""-v '�,-�.� z �;
sunounding residenfial improvemenls. � v___�� ti� ;!�_ .h��.`', t_ ,�
Other land (2� �'�`=��''y'��,�r',.�'T'-�ti �:
}r°` .nR:-s
Tdal land (line 1 plus line 2) (g�
`:u'�ew ��� t;i �rirsi`s-.�r �'t
Dwellin9 i4) ?�f.�d Sf `,'� 3.# 7:��at"°'i<<3;�'
Residential improvements ?�- £i.r �-= £�'Tti-kf. �+�'- �w-.-L
$�g .i,,�,� =' =��.,�r >
Garage (5) '`:�' ���'�,s �:?. "4y.�';
� i�,.s... �"cYc�' �' ik
1� -
Olher improvemenis (6) � `� ���'" `P�"
� �.:��Y� �o��
Tolal improvements (line 4 through line 6) (7)
TUaI value (line 3 phs line n (g)
I hereby certify the above IS We, corted, and Signamre of Assessor Date signed
complete.
Verifying action - Si9nature of Fwditor Dale signed
�2��r�`..l�-c:�ss'77"'^+��a s,:.�t{`•`r',3r.�.�,'i�w�iSTANDARU:DEDUCTiONAL1:OWANCE __i!G=�'i�'�.�3'-a.�+uTMU.ti: r "�-�.e�'?'.r �i»�T.'�.�-`--z-g-i.:..`''.
20_Pay20_
Lesser of 1!2 Homestead
ValuaGon or 56,000 5 '
Signature oflwditw Date signed