HomeMy WebLinkAboutHomestead_Dickenson (2) --."t.-.- CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
% STANDARD /SUPPLEMENTAL DEDUCTION
5 , #. t- State Fort 5473(R12/6-09) HC1D•
Ste.j Presaibed by the Department of Local Goverment Finance yp ug-INSTRUCTIONS:See reverse side for filing instructions. F p p _ 1'D
4 _ CERTIFICATION STATEMENT JL '',1Appff��rrtt r{�1�i NNN ���LLL.///
I(We) ra 1 rA i "emu certify that I(weyasc41pi2I&a1ai/r)principal
place o residence or am(are)buying the following described real property for which a Homestead Property Tax Standard Deduction is hereby claimed
under contract on the date this application is filed, (date of filing): n� �
❑ I(We)own ❑ Am(am)buying under recorded contract GIBSON (COUNTY AUDITOR
❑ 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
' CLAIMANT'S INFORMATION
N f claimant(legal name) v
Name of dainant's spouse(legal name) .
Social Security number of claimant's spouse(last five digits)I Driver's license I Identifcason/Other number Issuing State _--
of claimants spouse(last five digits)
CONTRACT RECORDED
If buying on contract,Fee Simple owner's name
•
Recorder's office where contract is recorded - Record number I Page
PROPERTY DESCRIPTION
County Township Taxing district(city,town,township) - ��W/111, �/y``/ '
Parcel number al description Is the p arty in flues' • /
T NW a- 3 /2 .'W*4 ❑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)ace that Immediately surrounds that structure is used to produce income.describe the use and portion
of the property tithed to produce income.
• 2.4, .../ 7-0 .1, -/DO - ODD• 0/ 5 - 0 .1_/
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County _ Township County • Township
I hereby certify the above statements are true,correct and complete. Signat V f aunant (7 .79:6127..._______ •
Addre number and street.city,state,and /cod n S l,' \f Tn '(-)(p`r
ASSESSOR USE ONLY I TRUE TAX VALUE i AT 100%OF TTVE I HOMESTEAD AD I NON-RESIDENTIAL
Land not exceeding I(one)acre Immediately 1 .,� v.su `3-`•"` •� -
surrounding residential improvements. ( ) tr'6`zor�.e.$=-w
Other land (2) i frei 1`j MW -
Total land(line f plus line 2) (3)
Dwelling (4) •�.•
Residential Improvements or Annually `""'' ''' #r " a#as
Assessed Mobile I Manufactured Home
a `�tiK ; • 'Garage (5) (atei i %- 1 " "�
Other Improvements (6) 1T,+t�F �'�`
J• ..F
Total Improvements(line 4 through line 6) (7)
Total value (line 3 plus line 7) (8)
I hereby certify the above is true,correct,
Signature of Ave-ex.-or Date signed(month,day,year) •
-and complete.
Verifying action-Signature of Auttor Date signed(month,day,year)
STANDARD DEDUCTION ALLOWANCE
20 pay 20 I esser of 60%of the assessed value of the homestead or$46000
Notwithstanding any other provision,the sum of the deductions provided in IC 6-1.1-12 to a mobile home that is $ fv
not ecmvsed as real property or to a manufactured home that is not assessed as real property may not exceed 1N-\
one-half(12)of the assessed value of the mobile home or manufactured home. •
Signature of udto •
i�r^t�/ rr Date signed(month.day,Year) __•