HomeMy WebLinkAboutHomestead_Hunter (2)CLAIM FOR HOMESTEAD PROPERTY TAX
__ STANDARD / SUPPLEMENTAL DEDUCTION
- State Form 5473 (R73 / 72-09)
�„» Presaibed by the Department af Local Govertunent FinaMe
INS7RIICTIl1N.b Suw mvnrca cldw /nr 51im inMmHinns
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�(We) -- ., ce,[�i(ytliat._�we) ocapied as my (our) prindpal
place ot residence w am (are) buyi�g.the fdlowing described real property for which a Homestead Property T� ard Deduction is hereby daimed
urder contract on ihe date this application is filed, (date o/filiG�SO(We��UNTY AUDITOR
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Own ❑ Am (are) 6uying under recorded contreM
❑ Am (are) entllled to occupy as a tenent-stockholder of a coope2live housing corporation
❑ Have a benefidal interest in Me Wst or the right to occupy the property under ihe tertns of a qualified personal residence Wsl .
❑ Am (era) Ne shareholder, partner or member of tha entity that owns ihe property.
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Name W � (kgal )
Sodal Seauily raim6r.r of daLnem (bY (ne dgds) Or'rvefs ficense / ItlenGfimtlon /
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Name d dalmant's spouse (legal neme)
Sodal Securiry num6el of tlamw�Cs spouu (Wsf !he dk,�lLcJ Dirrefs license / Identlfi�stion / Other numbar Issuing Sbte
ot daLnanYs spouse (lastlrve dgrfs)
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If buying an contracC Fee Simple owners name
Recnrtlets office where mntracl is 2corded Record numher Page
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TownshiD Taring . . �. wnsh+P)
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�P �cel number Legal tlesaiption Is the proparty in estion:
(�-I I - o ol -ba �� �,�. ❑ �� � �a � ��� �,.,-n
It arry portion W Me residentlal sWCture or Ne IarW nat exceedin8 ona (1) arre Uat immediatety sumou tha[ sbuCU2 is used lo Pmduce inmrt�e, desaibe fhe use and Ponbn
W Ihe property uti0zed In P�� Inoome.
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CounN Tovnuhip CauntY Tavnship .
I hereby certify the abova statements are We, correct and complete. Signawre of an1
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(numDe� arM sLee4 dN. uate, and LP ootle)
S2a� S, t�.(.d S.,Q. �, O 'S� %!c�/a.5
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sivrounAnY real�denti��m�ro ements.'�b ��) yv':`����,r_5���� ��k:�,
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Other land (2) °��-y �'f'- ��
Total land (line 1 p/us llne 2) (3)
::!4^rr �xr,2 `"i.::-� ��-�R�OCl �
ResideMlal imp+ovements or Annualy �NBIIin9 (4) �,� „y+.,� ^,.�� � rnP,,4• .�
e d+ Mo6ae I Manufactured Home �9e (5� ��'<±'a ��. p,.. . �.'��� ??
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v - _ : . : , : � =. , r � -,-; a't .
Other Improvemenb (s) `i £-.�aai_�:*.-,:'.:-.� �
Total improvameMS (Ilrre 1 throug� line 6) (7)
Total value (llne 3 pl�a Ura 7) (8)
I herehy certify the abova is true, cortect, �� of Assessor Dete sigrred (monfh. deY. W��
and eomplete.
Verifying acUon - SSrewre oflwtlimr Date signeA (month. daY Y��)
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-�20 _ pay 20 _ Lesser ot 60% of the essessed value of Ihe hanestead or E45,000
NoMitASteMtng any ofherpovision. Ne sum Nlhe de0uttions provided in IC 6/.1-12 ro a �m6i/e lame that is $
not essassed es real pioperty or to e man`dactured home thet is not essessed as real property mey rof exceed
iRl Ihe velue of the mobde home ormanuleGured home.
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