HomeMy WebLinkAboutHomestead_Lance (2) 1 fl\ CLAIM FOR HOMESTEAD PROPERTY TAX \"\ IF 'FEo E YEAR
S, --. STANDARD 1 SUPPLEMENTAL DEDUCTION �
- '• State Form 5473(872/6-09)
•OR
'‘..':;-/ Prescribed by the Department of Local Government Finance FEB 27 2013
INSTRUCTIONS:See reverse side for filing instructions. •
A . 4 ,
CERTIFICATION STATEMENT �,I ���ITyC Tn
® I(We) I_ Li'..u... �A / Q�t, celr491�A(I )vr aces WMY too)principal
place of sidence or a '/(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 .
El 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 I claimant(legal name)
a. / I Q/M. r�C---
CONTRACT RECORDED
if buying on contract Fee Simple thmers name
Recorders office where contract is recorded Record number Page
PROPERTY DESCRIPTION
County Township Taring district(city,town,township)
-1—//-��C1�
Parcel number Legal Ddescription yy� ` Is the perry in questi
' � ,e•,w LC'LCC/�4 a 7 I ❑Real property ❑ Annually assessed mobile lame(IC 61.1-7)
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
®
of the properly utifaed to produce income.
a&—/I - 3/ - 0 - 0 0 4( . .2 5 8 - o .2- /30 -
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township County Township
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I hereby certify the above statements are true,correct and complete. " i IIl61
S I r /
•••ress(number and slat- and ZIP cdey1
( - I 1-' ' l rl ' ' t_ / 1 i ! Ito
ASSESSOR USE ONLY I TRUE TAX VALUE I ATE 0%OF TIN E I HOVALUEAD I NON duce Other land (2) StaWfit -
Toth land(final plus line 2) (3)
Residential Improvements or Annually
Garage (5) gYalltatiT1Ftaiturt.tflt;
Caber Improvements (6) .P43PLITY;4147::
Total Improvements(line 4 through line 6) (7)
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Total value (line 3 phis line 7) (8)
Signature of Assessor I hereby certify the above is true,correct,and complete.
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• STANDARD DEDUCTION ALLOWANCE
20 pay 20 Lesser of 60%of the assessed value of the homestead or$45,00
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Notwithstanding any other provision,the sum of the deductions provided in IC 61.1-12 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 excised .
one-half(12)of the assessed value of the mobile home or manufactured home.
Sig n�lurree7off Auditor a Data signed(month-day,year)