HomeMy WebLinkAboutHomestead_Sands" CLAIM FOR HOMESTEAD PROPERTY TAX
STANDARD if SUPPLEMENTAL DEDUCTION
6 State Form 5473 (R12/6-09)
i Presrsibed by the Department of Loral Govemment France
INSTRUCTIONS., See reverse side for filing instructions.
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I (we) certify iFaTi (wee) espied as my (our) principal
place of residence or am (are) bu g the following described real property for which a Homestead Property Tax Standard Deduction is hereby claimed
under contract on the date this application is filed, (date of filing):
❑ 1 (We) own ❑ Am (are) buying under recorded contract
❑ Am (are) end0ed 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
INFORMATION
•
If buying an contract Fee Simple owners name
Recorders office where contract is recorded Record number Page
PROPERTY DESCRIPTION
County
Township
Taxing distri (city, town, township)
Parcel number
Legal descripptt`ion ,'�,57 Is the property in question:
jer 06 P !� `1 Real Property ❑ Annually assessed motile home (IC 6- 1.1 -7)
U portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure a used to produce income, describe the use and pardon
o Ne property utilized to produce income.
a�- 13- a9- ioo-DOO• ys9 -oo �
PROPERTY OWNED BY
County Township County Tovnsship
I hereby certify the above statements are true, correct and complete.
n to of imam
Add u(number and mmet, sty, state, ndZlPcode)
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ASSESSOR ONLY TRUE TAX VALUE 1ASSESSEDVALUE1 • r I NON-RESIDENTIAL
Land not exceeding 1 (one) acre Immediately
surrounding residential improvements. (1) e'�r:'Sx
is 2 rt'
Other land
(2)
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
- . aTxy?y.�'• v`
Residential Improvements or Annually
Garage
(5)
Assessed Mobile I Manufactured Home
Other improvements
(6)
Total improvements (line 0 through line b)
(7)
Total value (line 3 plus line 7)
(8)
1 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)
20 _ pay 20 Lesser of 60% of the assessed value of the homestead or $45,000
Nowiturtanding any otherpro moon, the sum of the deductions provided in IC 61.1 -12 to a mobrie home that is
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rot assessed as real pmpeny or to a manufactured home that is not assessed as real pmpody my nit exceed
ane -hall (112) of the assessed value of the mob//e home or manufactured home.
Signaure of Aadl n
Date signed (month, day, year)