Homestead_Robison •
CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
473.11,1 STANDARD!SUPPLEMENTAL DEDUCTION FORM
%._y, State Form 5473(R18 t 1.23) HC10 2024 ,
Prescribed by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for filing lnsWcUons.-
NOTE:Telephone,;SocJal Security,driver's license,slate Identification end federal Identification numbers are confidential under IC 6-14-12-37.
'CERTIFICATION STATEMENT
i(wu) I awrence R Robison cattily t at I(we)occupied es my(our)principal place of
residence or am(are)buying thq.folIng doscrtbvil�plopwty under contract for which a Homestead Property Tax Standard Deduction b hereby dakned on the
date Ude application le signed,VC/ Z�. (date or signature).I(We):
' ❑Am(are)buying under recorded contract. - - '
❑Am(ere)entitled to occupy as a tenant-stockholdor of a cooperative housing corporation. '
❑Have a beneficial Interest In the bunt or the right to occupy the property under the terms of a quaffed personal residence Ira .
Pun(ere)tM aharanddir,genres,w member d the ar ny.that owes the property.
. _
11 Buying on Contract.Fee Simple Owner's Name .. T.��
R
Records?'Office Whore Contract la Recorded Record Number Page
PROPERTY DESCRIPTION
County' " Tasmania' Taxing Okada(dry.town,township),
Gibson 009 Haubstadt .
Parcel Number Legal Description Is the property In question:
�,FYoel Property ❑ArvwalyAscassed MotiHomee He(IC 6.1.l-7)
If any portion of the residential structure or the land not exceeding ono(1)acre that Immediately sumo n s at structure Ia used to produce Income,describe the use and portion
of the property utklzod le endues Income.
.
26-19-31-400-000.812-009
PROPERTY OWNED ELSEWHERE BY CLAIMANTi
Store.County.end Township - - - Is Claimant Vacatirrrnggrrt•Homestead?
❑Yid / y�r4o����/]
Slpnalu lalman ^ t `II"t'��i'✓ram"" Y
I hereby certify the above statements are true,carrel,and complete. X j1,�. t
Address of Contact(number and street,ally,slate,and ZIP code) Address of Vacated Homestead,if any(number and street,city,state,and ZIP code)
709 Edinboroueh Ct, Haubstadt, IN 47639 .
ASSESSOR USE ONLY ASSESSED VALUE HOMESTEAD VALUE I.NON-RESIDENTIAL VALUE
Land Not Exceeding Ona(1)Acre Immediately (1) — r
Surrounding Resldentlal_Improvement - - . - .. -
Other Land (2) .
Total Land(line 1 plus line 2) (3)
Residential Improvements or Dwelling (4) .
Annually A od Mobile I
Manufactured Home Garage (5)
Other Improvements (g) ., • _ • •
Total Improvements(line<through Line 6) (7)
Total Value(Line 3 plus Line 7) (8)
' Signature of Mintier Dale Signed(date,month.year)
I hereby certify the above Is true,convict,and complete:
Verifying Action-Signature of Auditor Dole Signed(dare,month.yor)
STANDARD DEDUCTION ALLOWANCE
20_Pey 20_ Leaser of 00%of the assessed value of the homestead or$48,000.
No idhsfonding any odor provision,the sun of the deductions provided In IC 0-1.1-12 to a mobile home that: - $ • . -
Unot assessed bsstoat property or to a manufactured Borne that is not os'esaad as tool property may not.
exceed am•hall(1R)of the assessed value of the motels home or menufacfurod home. .
Signature of Auditor y Data Signed `
(month,day,year)
Michael A.Watkins/PJB _ )(oer ?!3D,2.. t '
Ilb
oISTRIBUrION:Original-County Auditor,Fa.-Stamped Copy-Taxpayer
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