HomeMy WebLinkAboutHomestead_Snyder (7)"'" C IM FOR HOMESTEAD PROPERTY TAX YEa,R
�S_,. • � $�ANDARD / SUPPLEMENTAL DEDUCTION FoRM �
/ 6�tate Form 5473 (R12 / 6-09) i�C10
vPrescnbed by ihe Deparimen� of Laal Govemment Frence
INSTRUCTIONS: See reverse side lorfiling insfrucfions.
I N'�e) �� certify tt(dfl �ve�oxu(�� mY (our) pri�ipal
place of sidence or am (are) buying the followin described real p perty for which a Homestead Pmperry 7ax Standarcl Deductlon is hereby daimed
under conVact on the date Nis application is filetl, (date o1 filing): � G��
❑ I(We) own ❑ Am (are) buying under recorded conVact
❑ Am (are) entilled ro occupy as a tenant-stockholder of a cooperafive housing corporaGon GIBSON COUNTY AUDI70R
� Have a benefidai interest in �he Wst or the nght to occupy the property under Ne terms o( a qualified personal residence Wst
(6st fi�e
neme)
spouse
tl buying om m�tract, Fee Simple ownefs iume
Reoortlefs o(fxe where mntraa is remrEetl
Counry
Trnvnship
Orivers fi[ense / Identfimf
of daimant (lasl (rve dgils)
OriveYS Grense I Identification / ONer number
of tla"unant's spouse (lest frve dgrts)
Ta�dng disiricl (cJN.
State ' I
N
Record number � Page
Paicel num6er . .L/�e9al drsttiptlm . a b A L Is Ne yoperry m QueSlion:
(� � �� 1- a^� 0 �� WoVenY ❑ Annua�y assesr� mo6ile home (IC 51.1-
It am/ portion d Ne resdenllal sWCWre w the IaM not exreetling me (1) arre Nat imrt�e0ia[eN wrrounds �hal strucwre is useG m pratluce imm�e. descnbe Ne usa and poftion
ot Ihe property utJVed m ptoAUte income.
��-�a-o�-Yo3-oo3. ��5-0��
Caunry
I hereby certify the above 5tatements are We, cortect and complete.
Land
ciry, sta(e, arM Z oo�
�I�. �
e) acre immediatety
Otherland
Total land (line 7 plus line 1)
Residential improvementa or Mnualty �����9
Assessetl Mobile I Manufactured Home Garage
Other impmvemenis
Total improvements (line d Nrough line �
Totat value (line 3 pl�s Ilne n
I here6y certify the above is true, correct,
and complete.
/e�ifying aOion - Sigruwra ol Niditw
�
� TRUE TAIC VAI
,�
,�
,�
.�
(5)
(6)
i�)
ce�
SSriah�ra o( Pssessor
Caunry
20 _ pay 20 Lesser of 60% of ihe assessed vAue of �he homestead or $45,000
NortuiASlarding any oiher pmvivon, Na sum W/he tleductiortc pravltletl in IC &7./-72 tn a mobJa lame Nat is
mt assessed as real property w to a manWaCUred frortie Net a not assessed as real property maY �� erceed
one-hadliRl W Ne assessetl ralua W the mobda Aoma ormenNarturetl frome.
5
�
TownsNp
Date signed (monfh. tlay. YBaA
Da:e v9ned (mon1A. daY. Y��
sgnm pnonN. aar. rea�