HomeMy WebLinkAboutHomestead_Belcher (6) •
s a CLAIM FOR HOMESTEAD PROPERTY TAX in W , I vEAtt
--: STANDARD 1 SUPPLEMENTAL DEDUCTION v4�
State Fann 5473(R12/6-09) 9�'I- p�
Prescribed by the Department of Local Government Finance 4'
INSTRUCTIONS:See reverse side for filing instructions. • - APR 1 6 2013
• CERTIFICATION STATEMENT -T
_I(We) , rA � certify that 1• t D -. Y(our))principal
place of re tdence or am(are)buying the following described real property for which a Homestead Proper @l$£$fdd6$) IPc 0M1 trirrteRlaimed
under contract on the date this application is filed, (date of filing):
❑ I(We)own ❑ Am(am)buying under recorded contract l
❑ 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
If buying on contract,Fee Simple owner's name
Recorders office where contract is recorded Record number Page
PROPERTY DESCRIPTION
County Township Ta ' tnd(city,town,township)
,
Parcel number al description Is the property in question:
- Ogg`Na / /T/Z �/,/ ❑Real property ❑ Annually assessed mobile horse(IC 6-1.1-7)
® If any portion of the residential structure or the tend 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.
�6 - /l - iA - 2- 0V— doo.o5< 3. - oad'
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
•
County Township County ' Township
A
I hereby certify the above statements are true,correct and complete. I9natura >i claimant`
Address(number nd street,citystate,and ZIP code) •
I
ASSESSOR USE ONLY TRUE TA)(VALUE ASSESSED VALUE HOMESTEAD NON-RESIDENTIAL
AT 100%OF TTV VALUE VALUE
Land not exceeding 1(one)acre Immediately 1
_ -. _ .3-s•t- r
surrounding residential improvements. O . . • a�=.;�.;, ._,-_...._ �...
Other land (2) i-r r :..'! ' `,,, .
Total land(line 1 plus line 2) (3) •
Residential Improvements or Annually Dwelling (4) `u<',T4-4 lisrastist_ksvva-
Assessed Mobile I Manufactured Home tfert r Garage (5) )- pwik,. k.5 to 3et.e
Other Improvements (6) .0043-:"S z
Total Improvements(line 4 through line 6) (7)
Total value (line 3 plus line 7) (6)
hereby certify the above is true,correct, Signature of Acenccor Date signed(month,day,year)
I and complete.
Verifying action-Signature of Audeo Date signed(month,day,year)
® STANDARD DEDUCTION ALLOWANCE•
20 pay 20 Lesser of 60%of the assessed value of the homestead or$45600 -
Notwithstanding any other provision,the sum of the deductions provided in IC 6-1.1-12 to a mobile home that is $
not assessed as real property or to a manufactured home that is not assessed as real properly may not exceed
one-half(1/1)of the assessed value of the mobile home or manufactured horse.
Sgnaw (Auditor ---- -- - Date signed(month,day,year) ..