HomeMy WebLinkAboutHomestead_Bailey (2) r"'° CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
� _ STANDARD/SUPPLEMENTAL DEDUCTION WE
�i State Fortn 5473(7/ /12-09)
\�„ d Prescribed by the Department of Local Govemmenl Finance
INSTRUCTIONS:See reverse side for filing instructions. _ _ 3 1 2013
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�� CERTIFICATION STATEMENT - . ' - - •
I(We) 11. � . .l\ , certify that I(we� .. pi-.1= r' our)principal
1, :I?M_
place of residence or --- (are)buying the following described real pro.- for which a Homestead Property Tax Stand. .='y.,1.1.y sA •tipr imed
II under contract on the date this application is filed, (date of filing). I(We): GIBSON
Own E7.] Am(are)buying under recorded contract
Am (are) entitled to occupy as a tenant-stockholder of a cooperative housing corporation
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❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified personal residence trust
❑ Am (are)the shareholder, partner or member of the entity that owns the property.
- .- ,-:jc�-, .' CLAIMANT1jINFORMATION_.- _%...t s.._°° :'°a., � .. C' 'ft 9
Name of claimant(legal name)
`_}__ _ -
If buying on contract,Fee Simple owner's name -
Recorders office where contract is recorded Record number Page
. - •r, - _ .40-1.71r-r-2 RROPERTY'DESCRIPTION`1:. y . aim;_ -. _ ' _•
County Township Taxing istrict(city,town,township)
Parcel number Legal description Is the property
a L- i&-R s- L btS .Ob.) 5-3-1 - Oo LI . pleat property ❑ Annually assessed mobie home(/C 6-1.1-7)
If any portion of the residential structure or a land 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.
__ f . PROFERTY,OWNEDBY CLAIMANT INOTHER COCA TIES �_-,-,,2„ _ _ - _ _
County Township County Township
I hereby certify the above statements are true,correct and complete. Si ure claimant b
Addre (number and street,city,state,and ZlPCOde O_(,
/ 1805. CLfeRk E� 0 • 11AuA5 LSOrTiki LP L 3o
0 ASSESSOR USE ONLY - _' �I�sTRUE TAX VALUE-.-.AT-d 00%OF rn.I HOMESTEAD 1r
_I NON- VALUE
Land not exceeding t(one)acre immediately
surrounding residential improvements. (1)
Other land (2)
Total land(line 1 plus line 2) (3)
Dwelling (4)
Residential improvements or Annually - -
Assessed Mobile I Manufactured Home Garage (5)
•
Other improvements (6)
Total improvements(line 4 through line 6) (7)
Total value (line 3 plus line 7) (8)
hereby certify the above is true,correct, of Assessor . Date signed(month,day,year)
I and complete.
Verifying action-Signature of Auditor Date signed(month,day,}rear)
STANDARD 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 assessed as real property or to a manufactured home that is not assessed as real property may not exceed
one-half(1/2)of the assessed value of the mobile home or manufactured home.
Signature of Auditor Date signed(month,day,year)
SQo y-) 9) l 5 - 31-c3