HomeMy WebLinkAboutHomestead_Haywood tom..- CLAIM FOR HOMESTEAD PROPERTY I P D •
FORM YEAR
STANDARD/SUPPLEMENTAL DEDUCTI JYYL-��
f:• State Form5473(R12/6-09) HC10 .
Prescribed by the Department of Local Government Finance `-
•
DEC 21 2012 13 11
INSTRUCTIONS:See reverse side for filing instructions.
c. . emu •
_ CERTIFICATION STATEMENT
(W ) L xr`,�- f i� r� t,.._r�y�i U NTY AUDI certi that I we occupied as my our
e h' ( ) P y( )principal
place of reside-ce or am(are)buying th!?/owing d•scribed real pro.' for which a Homestead Property Tax Standard Deduction is hereby claimed
under contract on the data 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 Oust or the right to occupy the property under the terms of a qualified personal residence lust
CLAIMANT'S INFORMATION
Name of��ant(legal name) '
I / e•
Name curity�
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CONTRACT RECORDED
If buying on contrail,Fee Simple owner's name
Recorders office where contract is recorded Record number Page
•
. PROPERTY DESCRIPTION
County Township Taxing distil city town,township)
.1
Parcel number Legal description / ,, / Is the property in question:
l.//,,1/on, `J'� //_A Real property ❑ Annually accessed mobile home(IC 6-L1-7)
410 If any portion of the residential structure or the land not exceeding ne'(17®°e"that~`immediately surrounds that structure is used to produce income,describe the use and portion
of the property ua coed to produce income.
a1,-1 a-019- 2_63 -004i 0/ -6 g'
A I ) mint e •
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township County Township
Signature Idalmant
I hereby certify the above statements are true,correct and complete. �tl/v �'!/yp/� c-�
Address(number and street,city,slate,and ZIP code) !/t J I /\t,,'
\) flood
\1Ote 0,2,m (,Q,I(0 Pmces&n I 14-700
ASSESSOR USE ONLY I TRUE TAX VALUE i ASSESSED VALUE I HOMESTEAD NON-RESIDENTIAL
AT 100%OF TTV VALUE VALUE
Land not exceeding 1(one)acre immediately 1 y-ti�r,.Fe. „+v�t+'1a w9-
surrounding residential improvements. O =grant,� s S 44d.•S
Other land (2) >_>E `t 1k4 '
Total land(line 1 plus line 1) (3)
Residential Improvements or Annually
Dwelling (4) _'�,.w"2y' `. eB "' :4r-y°�s
Acs sed Mobile I Manufactured Home Garage (5) ri+. * 1 Velcir''�r 5
Other Improvements (6) x; aFctii
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 Data signed(month,day,year)
and complete.
Verifying action-Signature of Audco Date signed(month,day,year)
soSTANDARD DEDUCTION ALLOWANCE
20_pay 20 Lesser of 60%of the accncsed 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(12)of the assessed value of the mobile home or manufactured hone.
Signature of Auditor Date signed(month,day,year)