HomeMy WebLinkAboutHomestead_Michel (10) �..-, CLAIM FOR HOMESTEAD PROPERTY TAX �'t r—YEAR
.�;, STANDARD/SUPPLEMENTAL DEDUCTION 13 �' oD� I` i I 1!
• State Form 5473(R1216-09) g L �J
Presaibed by the Department of Local Government Finance
• . FEB 1 1 2013
INSTRUCTIONS:See reverse side for filing instructions.
® CERTIFICATION STATEMENT
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1(We) / certiiyurr+(1)etettattralg Ailent7ilfiPal
place of 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):
❑ 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 of claimant(legal name) Y ✓"`-SA,_ D
'
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Social Swneity number of claimant's spouse(las/five digits) Driver's license I Identification/Other number State
of claimant's spouse(last five dolls)
CONTRACT RECORDED
If buying on contract,Fee Simple owners name
Recorders office where contract is recorded Record number Page
PROPERTY DESCRIPTION
County Township Taxing district(city,l )
Parcel number Legal description • Is the property in question:
Pr 5&i it, - 3-to /f1 e- ❑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)acre that immediately surrounds that structure is used to produce income,describe the use and portion
®
Property ubized to produce income.
a60— 14 - /(0- 300 - ooa. 35 10 - o ,-s
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township ' County Township
:Ire cif claimant...41 LiinaL9 I hereby certify the above statements are true,correct and complete.
�,{7 Ad�djres(5�(number and street,city,stale,and ZIP code) 4 I r,+
V1/41 s r.t ►: t•nn :a Z� 4 i4b
ASSESSOR USE ONLY TRUE TAX VALUE I ASSESSED VALUE HOMESTEAD I NON-RESIDENTIAL
AT 100%OF TTV VALUE VALUE
Land not exceeding 1(one)acre immediately i ,-G " 7
surrounding residential improvements. • ( ) rx. -s; -A-/-- a. .a-4-_era-4
Other land (2) rV`--' lax
Total land(line 1 plus line 2) - (3)
Residential Improvements or Annually, _ , _
Dwelling (4) Xx n "' . •-x�'s'4-V.T his 7.
Accecsed Mobile/Manufactured Home (5) •3`' f rr3a. 7^
•
Garage 5 =i?t'a i =?� arST:kr"r=3i.
Other Improvements (6) c vx 's .la
•
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 Assessor Dale signed(month,day,year)
and complete.
Verifying action-Signally of Auditor Date signed(month,day,year)
O ' STANDARD DEDUCTION ALLOWANCE
• 20 pay 20 Lesser of 60%of the assessed value of the homestead or$45,000
NMwifhslanding any other provision,the sum of the deductions provided in IC 6-1.1-12 to a mobile home that 4s $
not assessed as real property or to a manufactured home that is not assessed as real property may not exceed -
one-half(112)of the assessed vahre of the mobile home or manufactured fame.
Signal re of Auditor �
- !/fe� Dale signed(month,day,year)
•