HomeMy WebLinkAboutHomestead_Pyle (5) a°r° CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
STANDARD /SUPPLEMENTAL DEDUCTION CRo� State Form 5473(R13/12-09)
,— Prescribed by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions.
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•....---A:5- CERTIFICATION STATEMENT _ _. - •- - :
I(We) a`JZiD:1 eM •Irliar . certif < t�w(occuJre� p our)principal
place of reside, - or f (-re) 1:g the following described real prop- for which a Homestead Property x S d d e -'`I'. eby claimed
under contract on the date this app!cation is filed, (date of filing). I(We):
❑ Own ❑ Am(are)buying under recorded contract JUN 11 2013
❑ 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 pers I resid ce st
❑ Am (are) the shareholder, partner or member of the entity that owns the property.
GIB . .
• := ..,5"^�a-'.-;.r°-.* '-.-.zK" .: itflitT4a CLAIMANT 5INFORMATIONuz s; r-ac Z _' •fir:a!'
-- - _• - - r ��. � -�-f�CONTRACT�RECORDED- _ .�_ �..;i_:�.:: __ = -.}` > 1
If buying on contract,Fee Simple owners name
Recorder's office where contract is recorded Record number Page
V-, - - 1%" > PROFERTkY.DESCRPTIDN-r. .> _ <,-z" i -r ,
County" 1' QI1�� Township Taxing district(city,to nlp) /
Pa..-(0-101-II number Legal description Is the p rty in question:
n��n.�X/FUfly7/�..
• 07—lo,i=00):lael:0 _ lal property ❑ Annually assessed mobile 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
of the property utilized to produce income.
. -- r':F ERTY-0WNED BV CLAIMANT IN OTHWeOUN 3ES! - -, ,i _' rtgarta?-:'a_ --il'
County Township County Township
I hereby certify the above statements are true,correct and complete. Signature of alma
,_
11Ad�d7ress(number and street,city,state,and ZIP code) 1 AP
r L e 4PRR4CG G"t. '. r vLcdat, tn✓ .ti 76. 70
° ASSESED VALUE °'HOMESTEAD " NO =RESIDENTIAL-
ASSESSOR USE ONLY TRUE.TAX VALUE
_. ,AT.100%.OFaTTVr+°
Land not exceeding 1(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)
I hereby certify the above is true,correct, Signature of Assessor Date signed(month,day,.year)
and complete.
Verifying action-Signature of Auditor Date signed(month,day,year)
' r c-LrraNDARD DEDUCTIO ALLOWANCE _ ° !-7
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 S
not assessed as :al property or to a manufactured home that is not assessed as real property may not exceed
one-half(12)of h: assessed_value of ',mobile home or manufactured home.
Signature of Audi;r Date signed(month,day,year)
VI 1 ._I IC