HomeMy WebLinkAboutHomestead_Murphy (2) a", CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
z STANDARD/SUPPLEMENTAL DEDUCTION
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` - Form Fo 5473(R12/6-09) .
C , ,-/ Prescribed by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions '
CERTIFICATION STATEMENT
(We) ), ', r 1 4 '� ceNfy that I(we)occupied as my(our)principal
place of residence or am(are)buying the following de cribed I root- ry for which a Homestead Property T rtd n is hereby claimed
under contract on the date this application is filed, (date of filing):
}�, GIBSON COUNTY AUDITOR
Id.I(We)own ❑ Am(are)buying under recorded contract
FL] 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
CLAIMANTS INFORMATION
Name of. i •al
Social Security number of claimant's spouse(last five digits) Drivers license/Identification/Other number Issuing State
of claimants spouse(last five digits)
CONTRACT RECORDED
If buying on contract,Fee Simple owners name ,
Recorder's office where contract is recorded Record number Page
PROPERTY DESCRIPTION
1 Township ��r.
7.10—'d n(umm(beerr M�y , Legalalldesaiption Is t(h�eyp property in question:
T as-3 00 0:0 I-7-03.0 I Real property ❑ Annually assessed motile 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,descnbe the use and portion
of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Tovmship County Tovmship
I hereby certify the above statements are true,correct and complete. Signasaii of•Zmant as -
tai,dress(number and sheet,city,state,and L• •••e) • Li f i
ASSESSOR USE ONLY I TRUE TAX VALUE I AAT 100 E OFALU I HOMES VALUE AD I NON.RESIDENTIAL
Land not exceeding 1(one)acre immediately (I) picaxt,,,Wa•,C.,‘-a:
Total land(line 1 plus line 2) (3)
Residential improvements or Annually
Other Improvements (6) :51RinciiiR
Total Improvements(line 4 through line 6) (7)
Total value (line 7 plus line 7). (8) •
Signature of Assessor Date signed(month,day,year)
I hereby certify the above is true,correct,
and complete.
Veifying action-Signature of Amato, Date signed(month,day,year)
elSTANDARD DEDUCTION ALLOWANCE
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 provided in IC 6-1.1-12 to a mobile home that Is $
not ssessed as real property or to a manufactured home that is not assessed as real property may not exceed
(12)of the assessed value of the mobile home or manufactured home.
Sign of Auditor Date ' n (month,day, or) .