HomeMy WebLinkAboutHomestead_Richardson (5) 1 ` CLAIM FOR HOMESTEAD PROPERTY TAX YEAR I
STANDARD[SUPPLEMENTAL DEDUCTION FORM
State Form 5473(R13/12-09) HOW
r'. Prescribed by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions.
rwh: <tb? °- ...:i l. .3. .ti,. =t',.<.'�t�i *}',.°c'nS�'.crC..,.CERTIFICATION.STATEMENT•4;.'v. Bart .'_".;"'.�,... '.�urt;�,p;'r�?s:
I(We) • . \ - r .� L 4_�/� ce r' ill(y-) ...�1$= (our)principal
place of resid• .; or am(are)buying the following described real property for which a Homestead Prope i Tax >-t�...11 D:du • )-reby claimed
under contract on the date this application is filed, (date of filing). I(We):
❑ Own ❑ Am(are)buying under recorded contract NOV 2 9 2012
▪ 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 ocaipy the property under the terms of a qualified personal revy trust
❑ Am (are)the shareholder, partner or member of the entity that owns the property. GIBBON
�ta� t'x.av t-. .>r�" u ,-i'1.t+rn..S:E?:��ri _'!`v"F-• _..n..,...- -- ,.. M FY yrf-`t"'`C3'-`�+•y e _ 4!<:. - 2"- .�rjchi rE-. _.
Name of - I(legal name)
Social Seri of claimant(fast five Mgt) I Drivers license/Identification r Other number S 0 Issuing SIa���-L H 9 9 19 II of claimant(last five digits)
Name of daiman s spouse(legal name)■
Social Security number ctaimants spouse(last five digits) Driver's license/Identification/Other number Issulnp,5tate-..
4099 I of claimant's spouse(last five digits)
00
1 l —L/ l,►v1
�.'E3. 1.4. _.'�,.,��, �i''- �e•.cS_r...-wf ��^aTi`. .raji.>rte'-"2{�siCONTRACT.RECORDE ia-ri .a...� 1?x-5.`ZOb'_._:k ttr v..: r:aas :..-es.=
If buying on contract,Fee Simple owners name
Recorders office where contract is recorded Record number Page
!63a,C'•.'.;4t£MZ>_IS,FjEk-Sfiirss8S,aa;::i:l^;1?i.:#r145fiv::�d PROPERTY:DESCRIPTION<ti:`�`i..{st.r...arig-^�,Wkl`3's1.T tiS a +E,v;:*`-'L) :e
County Il I Township Taxing district(city, o moo)
•
Pe I immbeer / /� Legal desolation '�I Is et'p�erty In question:
l l-0 -1 011� 0�7 -led I �"`°I property ❑ Annually assessed mobile home(IC 6-1.1-7)
If 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
of the property utilized to produce Income.
-a;,,!,,,; Af.:15 fi,;,,i;j;tt'"`.. .v at°`" c-tRPROP,ERTY/OWNED BV CLAIMANT,IN OTHERCOUNTIESq,r„4,_yAt+R=AN41.=„_k 11r�... ,..r_?e'i3:-- ..t<v$.
County Township County Township
I hereby certify the above statements are true,correct and complete. .5Zsaau�ef f claimant n /
� '%QM e .c C.fh n_a_che 1
Address(number and street,city,state,and ZIP code) %
\n/ �— 97 . 70
�� o-ASSESSED VALUE;I't''HOMESTEAD'y l+� f+ NON RESIDENTIAL - :t-i'
r d ?y,�„t�Y_ASSESSOR�USE ONLYFS A�'SS�I 1RUEjTAX VALUE �,.AT.100/OF TTVv!:.I,n+. :VALUE>s I ,w .0--4.i s)AL'UE t� k- :+:rv�_
Land not exceeding 1(one)acre Immediately "-
surrounding residential Improvements. (1) 574VTS
"' '
Other land (2)
Total land(line 1 plus line 2) (3)
Dwelling (4) ✓-:.rz.�s»b�. .`ral'^-Y'r`} .^- ':
Asssed Residential Improvements t or Annually
Assessed Mobile I Manufactured Home -"`+ :<
Garage (5)
Other Improvements (6) ,g1` a;
Total improvements(line 4 through line 6) (7)
Total value (line 3 ohs line 7) (8)
I hereby certify the above Is true,correct, Signature of Assessor Date signed(month,day,year)
and complete.
Verifying action-Signature of Auditor
Date signed(month,day,year)
,• �-"-..- s'..r rSpa lr sl,o 1
VA!o.s`' :g.4.'.t.'W::El 'st.i STANDARD.DEDUCTIOWALLOWANCEa,,f - Z :5s•,-rs?iC_M,A?-.!r1.;d
20 pay 20 Lesser of 60%of the assessed value of the homestead or$45,000
Notwithstanding any other provision,the sum of the deductions pmvided in IC 6-1.1-12 to a mobile home that is $
not assessed as reel property or to a manufactured home that is not assessed as real property may not exceed rw
oHef )o/the assessed value of the Habib home or manufactured frame. Date signed(month,day,year �v\/y
�,n 11-01 —/ �`