HomeMy WebLinkAboutHomestead_CraddockCLAIM FOR HOMESTEAD PROPERTY TAX
STANDARD / SUPPLEMENTAL DEDUCTION
6 N State Form 5473 (R12 / 6-09)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
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I (We) certify that I (vie) occupied as my (our) principal
place of resid ce or am (are) buying the following descritidd real property fo which a Homestead Property Tax Standard Deduction is hereby claimed
under contract on the date this application is filed, (date of filing):
(We) own ❑ Am (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 qualified personal residence trust
INFORMATION
Name of claimant (legal name)
Social Security memter of claimant (lam five &gds)
Driver's ficens , I Identification / Other number
Iswing State
of claimant (last five dgits)
Name of claimant's spouse (legal name)
Social Security number of claimant's spouse (last five digits) Drivels ficense i Idwbl.iralian / Other number
Issueg State
of claimant's spouse (last five digits)
CONTRACT ••. .
If buying on contract, Fee Simple owner's mane
Recorder's office where contract is recorded Record number Page
PROPERTY DESCRIPTION
County
Township Taxing district town, township)
PamrJ number
al descrip' Is the property in question:
'
Zhl'�E Real property ❑ Annually assessed mobile home (IC 6-1. 1-7)
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
®If
of the property uplifted to produce ince
a�,- zU- 02 000.
PROPERTY OWNED BY
County Township
County TawnsNo
I hereby certify the above statements are true, correct and complete.
Sig re claimant
mess (number and street, city, state, and Z /Pcode' T r1 / 1-17& � !,
S�. Oct �lc✓c� 'v V
f'nlIr
ASSESSOR USE ONLY ASSESSED VALUE I HOMESTEAD NON-RESIDENTIAL
. I TRUE TAX VALUE AT100%OFTTV I VALUE VALUE
Land not exceeding 1 (one) acre immediatelyy -�
surrounding re sidential improvements. (1) :z- .e'iz -* •.k. -;i:
Other land
(2)
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
-` - dµ W Fla. ia2, vl?
_:,,, ,E 1,ffiv -.
Residential Improvements or Annualty
Garage
5
Assessed Mobile I Manufactured Home
Other Improvements
(6)
�yrj �� jr�T`}{� ,2•_-
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(a)
hereby certify the above is true, correct,
Signature of Assessor
Data 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
Notwithstanding any otherprovision, the sum of ere deductions provided in /C 6- 1.1 -12 to a mobile home that is
$
net assessed as real property or to a manufactured home that is not assessed as reef property may not exceed
one -hatl (12) of the assessed value of the mobile home ormanufactumd home.
Signature of Auditor
Date signed (month, day, year)