HomeMy WebLinkAboutHomestead_Compton (3)"' CLAIM FOR HOMESTEAD PROPERTY TAX
_ STANDARD/SUPPLEMENTALDEDUCTION
State Fortn 5473 (R73 / 72-09)
� � PresaiDad by the Department af Local Govertunent Finance
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INSiRUCT10NS: See raverse sfde for filing inshuc8ons.
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�(We) certiry that �(we) ocwpi@! �s�cM1�cn�pa�
place of residence or a(are) buying ihe fWlowi described real property fa which a Homestead Pfoperty Tax Standard Deduclion is he ed
urWer contrad on the date this application is filed, (date o1 filing). I(We): GIBSON COUNTY AUDITOR
❑ Own ❑ Am (are) buying under recorded contrect
❑ Am (are) entilled to occupy as a tenen4stockholder of a cooperative housing corporation
❑ Have a benefidal interest in the Wst or ihe right to occupy the property under the terms of a qualified personal residence wst .
❑ Am (are) Ihe shareholder, partner or member of Ne entity ihat owns the property.
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Nxameofdaimanti�e9a�^�ma) �/.
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Sode1 Seauib nm�hel a( tla6nanl(ksf � ) Drrvers ' ~/ Idrstlflmtbn / Other number Issuing Sa[e
` of imant (lest frve digNsJ �r�
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Name of da (legal name)
Sodal Sauriry numhar of daunanCs spouse (WSt frve d'gCs) Drivers license / Identifice�lon / Other number IssW�g State
of daimanYS spousa (last live dlpils)
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I( byvg on contract Fee Simple ovmefs �me
Rewrders oFrca where contrad is remrtled Racard number Pege
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County Tw�nship Ta�dng distrid (ciN. �o��P)
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Pa�mi number Le�l tl_ gt% � ' _/ /. Is the perty in 7uestion:
!J /. 7 I poperty ❑ Mnualty essessed mob�e home (IC Gf.1-7)
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If arry portion of the residential struGUre w tha IarM not exceeding one (7) a�re ihat immetliatety surtoun strucWre is used ro p'oduce incoma, tlesaihe the use aM portlon
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Counry Trnmship County Township .
I hereby ceNfy Ne ebove st.^.temenis are We, cortect and complete. Signaw a
(numeer end saee4 �}: sfete. aM ZlP code) 7
iz�S, iG''7Sa.� Owa..av,l�r,S `t ��5
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land not ezceeding t(orre) aere immedlamy �-�,�,s.�'"`x s}�`�`Y=-'�:;"%
surtoundln resldenHalim rovements. (�� �' �F� -- ��' �" -' '-��"`'-
a� s:;ei�Kvb?ahj
Other land (2) .� tt� �:,`s..t',- � _
Totel land (llrre 1 plus lirre 2) (3)
Dwelling (4) �&�-a �°��f�:�'�a�ru�' ��5.-�
Residentlal improvements or Mnualy -. _
AssesaedMobtlelAlanuFacwredHoma 'i �.A �-.. �'�..a� �"`�*'�
catage (5) -+�°.:;�"�»�..�;E+.e% _i ;n«�=
OMer Improvemenb (6) �+-.:°.�.,�."-s�1_±'+'.��.�*T=�'��
Total improvemeMS (Ilne / fhrough line 6) (7)
Total value (llne J pf's Gne 7) (8)
I hereby eerHfy the abave is true, eorreet, �9"a�+re of Assessor Dafe si9�d (monrl�, daY• Y�A
and wmplete.
Veilyin9 aaion - Sigrenire of Audimr Date signed (rtanN. tlaY. Y��)
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20 _ pay 20 _ Lesser of 60% ot the essessed value oi the homestead or $45,000 __ _ _ _ _ _ _
Nolrilnsfanding eny oMerprovisun, Ne sumW Ne deducfbrts p�owfded in IC 61.7-f 2 ro a rroWe home that is S
not essessetl es real property w to e menufacfurad fame Nat is not assessad as rael pioperty may rot erceed
oneJ,ell 1R) ol Ne esmsced vehre d tM rroWle fame w man�daUUrad homa.
Signa4ue of Nditor Date signed (month, dsY. Y��
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