HomeMy WebLinkAboutHomestead_Byrns (10) reTz CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
-f°z., FORM
-:) STANDARD /SUPPLEMENTAL DEDUCTION ;�
I,'' "` -�• State Forts 5473(R12/849) It I __ ,
f Presaibed by the Department of Local Government Finance • _ t . -
6 -
INSTRUCTIONS:See reverse side for filing instructions. APR 1 9 2013
/ CERTIFICATION STATEMENT ;••••—I(We) .�L/II _ c� _Ac/aair certify •
that I( tt,•,q..._-5rai9['i L(our)principal
place of reside"'for am(al 'ng the following 1•'bed real property for which a Homestead Property biSt4••-, • sg• -'• iE(b;a'sned
under contract on the date this application is filed, I (date of filing): (atH.7
I(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
CLAIMANT'S INFORMATION
Name• /'/
Sodas Security number of claimant's spouse(last five digits) Drivers license/Identification/Other number Issuing State
of claimant's spouse(last Me digits)
CONTRACT RECORDED
If buying on contract Fee Simple owners name
Recorders office where contract is recorded • Record number Page
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PROPERTY DESCRIPTION
County Township T. 6 .di• . -(cify, curt
a4
Parcel number •••I desaiption Is the pro••ray in question:
41 'a r, ie.. _ /o — /t�,, 4,/ -'A- l71--.I property ❑ Annually assessed mobile home(IC 6-1.1-7)
If any portion of the residential structure or the land not exceedi ng one(1)awe that immediately sunou •s that structure is used to produce income,descnbe the use and portion
of the property diked to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township County Township
I hereby certify the above statements are true,correct and complete. Sigga re of claimant
Addre (number and Lary,state,end ZlPade),
L15 , , V ) AkO410;L'Z r (1teGo
I I ASSESSED VALUE NON-RESIDENTIAL
ASSESSOR USE ONLY I TRUE TAX VALUE I AT 100%OF TTV VALUE VALUE
Land not exceeding t(one)acre Immediately o fif: e'
surrounding residential improvement. O - xg 0?b <:.=%t: :.e
Other land (2) v b� g r :
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Total land(line 1 plus line 2) (3)
Residential Improvements or Annuaity Dwelling (4) ;s- '"t - i s
Assessed Mobile I Manufactured Home "msd H�Garage (5) � �1 . .s33wy,,t°
Other Improvements (6) nt,,:.•i;
r
Total improvements(line 4 through line 6) (7)
Total value (line 3 pits line 7) (8) '
hereby certify the above is true,correct, Signature of Assessor Date signed(month,day,year)
I and complete.
Verifying action-Signature of Aditor Date signed(month,day,year)
STANDARD DEDUCTION ALLOWANCE
20 pay 20 Lesser of 60%of the accscsed value of the homestead or$45,000 ►�fw`
Ab(withstardirg any other provision,the sum of the deductions provided in IC 6-1.1-12 to a mobile home that is $ r .%
not assessed as real property or to a manufactured home that is not assessed as real property may not exceed _ ..
one-ha//(f2)of the assessed value of the mobie home or manufactured home. -.
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Signature of Auditor Date signed(month,day,year)