HomeMy WebLinkAboutHomestead_Hill (4) ivr_ CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
STANDARD/SUPPLEMENTAL DEDUCTION
t- State Form 5473(R12/6-09) HC10
Prescribed by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions. -
/� CERTIFICAflON STATEMENT _ _ _
I(We) �/�� � i,IW%, t m t (we)occupied as my(our)principal
V i/ certify that I
place of residence or am(are)buying the followin• described real prope 1 for which a Homestead Property TO Star dardip¢dydion is hereby claimed
under contract on the date this application is filed, (date of filing): MM TT JJ LLlI1l���J
❑ 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 aGYElteitliiffbR
CLAIMANT'S INFORMATION
Name of claimant(legal )
`
•
Social Security number of daimant's spouse(last five digits) Dnvefs license/Identification/Other number Issuing State
of claimant's spouse(last five digits)
' CONTRACT RECORDED
If buying on contract,Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
PROPERTY DESCRIPTION
County Township Taxing disfid township) e
•
Parcel number Legal desoiption in(...A:2 a question: rtLiJ/f/
i PmPel property Annually assessed moble home(IC 6-1.1-7)
If any portion of the residential structure or the land not exceeding one(1)acre that immediately surmlfidTS that structure Is used to produce income.descrbe the use and portion
of the property unfixed to produce income.
07(D-o5 -57-/ aa m a . S- / R o /
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township County Township
I hereby certify the above statements are true,correct and complete. Si••-tuna of claimant •
1 r,/.t,ettn—r>z c /s/ e
Address(number and street,city,state,and ZIP code)
ASSESSOR USE ONLY I TRUE TAX VALUE i Alp ESSE OF TTV I HOMES VALUE AD I NON-RESIDENTIAL
Land not exceeding t(one)acre Immediately rer•TW` fy.a/7
surrounding residential improvements. ty (1) -'r£"-`f-'� .»s.z7-F- x_r!n1%.
.
Other land (2) e„ :-�: ; - .
Total land(line 1 plus line 2) (3)
Residential improvements or Annually Dwelling (4) ;3 s1`L:`z e5
.4 -2 yx
�
Assessed Mobile!Manufactured Home
Garage te-- ��`. �` ^2 �s.yr'c
9 (5) F tt Uti.= e-s7 hi'.v.i
Other Improvements (6) ,ytANUM
Total improvements(line 4 through line 6) (7)
Total value (line 3 pus line 7) (8)
I hereby certify the above is true,correct, Signature of Ass•,ssor. Date signed(month,day,year)
and complete.
Verifying action-Signature of Auditor Date signed(month,day,year)
STANDARD DEDUCTION ALLOWANCE
20 pay 20 Lesser of 60%of the accessed value of the homestead or$45,000
Notwithstanding any other provision,the sum of the deductions provided in IC 64.1-12 to a mobile home that Is $
not assessed as real popery or to a manufactured home that is not assessed as real properly may not exceed
• one-half(1Q)of the assessed value of the mobile home or manufactured home.
Signature of Auditor - Date signed(month,day,year) •