HomeMy WebLinkAboutHomestead_Blaize (2) et Fr- CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
''�•'.;,'°'1?e STANDARD/SUPPLEMENTAL DEDUCTION FORM
a\^. State Fonn 5473(R19/1.23) HC10 Wg
• Prescribed by the Department of Local Government Finance '
INSTRUCTIONS:See reverse side for filing instructions.
NOTE:Telephone,Social Security,driver's license,state identification and federal identification numbers are confidential under iC 6-1.1-12-37.
_ CERTIFICATION STATEMENT
I(We) ''ejr\W n/. 25 vl t 7--L'F' certify that I(we)occupied as my(our)principal place of
residence or am(are)buying the following described real property under contract for which a Homestead Property Tax Standard Deduction is hereby claimed on the
datedr this application is signed. (date of signature).I(We):
fitill . DAm(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 quailed personal residence trust.
❑Am(are)the shareholder,partner,or member of the entity that owns the property.
If Buying on Contract,Fee Simple Owner's Name
Recorder's Office Where Contract is Recorded Record Number Page
PROPERTY DESCRIPTION
Co ty Township Taxing District(city,town,townsh/
1,%�j So ('1. c a—ne l e0.
Parce Number Legal Description Is the props in question:
at Property ❑AnnuaityAs.h,Sed 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 that structure is used to produce income,describe the use and portion
of the property utilized to produce income.
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PROPERTY OWNED ELSEWHERE SY CLAIMANT
State,County,and Township Is Claimant Vacating a H stead?
yes 107,10
Si. *ere raiment
I hereby certify the above statements are true,correct,and complete. 1
it f 7l
Address of Contact(number and street,city,state and ZIP code) Ad.ess of'acated Homestead,if any number an.,a,-,city,state,and ZIP code)
,III • •_....►_`_ fi a.. lb . Lt 7 t
ASSESSOR USE ONLY ASSESSED VALUE HOMESTEAD VALUE I NON-RESIDENTIAL VALUE
Land Not Exceeding One(1)Acre immediately (1)
Surrounding Residential Improvement ,,,
Other Land (2) i4rtale,r ?,, + -.i `2 x.
Total Land(line 1 plus line 2) (3) �■../■
.I.
Residential ImprovementsDwelling r,_
L D
or ng (
Annually Assessed Mobile I
Manufactured Home Garage (5) a 'r . v_
Other Improvements (6) i,.6< ,. - APR 2 5 2025 Yr�`;`- 1
mint [1JL lug f`f Total Improvements(Line 4 through Line 6) Cr)
Total Value(Line 3 plus Line 7) (8) •
Signature of Assessor AO~ ,YR
I hereby certify the above is true,correct,and complete. GIBSON COON G
Verifying Action—Signature of Auditor Date Signed(date,mon�y arj
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STANDARD DEDUCTION ALLOWANCE -
20 Pay 20 Lesser of 60%of the assessed value of the homestead or$48,000.
Notwithstanding any other provision,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 ofAuditor Date Signed(month,day,year)
Lnix3.
C..6\*/
DISTRIBUTIO •Original—County Auditor,FileStamped Copy—Taxpayer
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