HomeMy WebLinkAboutHomestead_Robbins °'no 4 CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
STANDARD /SUPPLEMENTAL DEDUCTION I
tfr State Form 5473(R13/12-09)
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Prescribed by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions. 1 1
/� ',g CERTIFICATION STATEMENT ,
I(We) 4fl!e2 STE f • certify that I(we) .t, •ied a 3 c. •:..'pal
place of residence or-I (are)buying the following described real property for which a Homestead Property Tax atm-•,4.-.• .Y ' !i-by claimed
under contract on the date this application is filed, (date of filing). I(We): •UNTY AUDITOR
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
❑ Am (are)the shareholder, partner or member of the entity that owns the property.
iI `R i/SZ � 4- �.
4��'�;.�:::_ i.."' �-�•. CLAIMANT;S;INF ORMATION:_�'.,,, .,- -._- _ _ .. . `"-k .a
- LL v CONTRACT RECORDED `_ _ _-
If buying on contract,Fee Simple owners name '.
Recorders office where contract is recorded Record number 1 Page
.1
. .: _. .I!PROPERTY,DESCRIPTION �_
County f / Township Taxing 'ct�r ty,,tyt wn,township
/itl-d lid aft/co_ f 6-onu
Parcel n mbar L e p' / I the pr party in question:2 o//}/ �� S"� Real property ❑ Annually assessed mobile home(/C 6-t1-7)
If any�7Qrtion oft the residential structure or the land not exceeding one(1)acre that immediately surroun�t structure is used to produce income,describe the use and portion
of the properly utilized
O'SG_a? top-Jac"- 00°. D ?D-Oc2-V
._ .
.1s _:l?ROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES -, ---__ - _ ,;,:i4
County Township County Township {/�J .
y fly Signature f G imamC���% `''� e�RAiC2 % I 4
I hereby certify the above statements are true,correct and complete. X �l1/
Address(number and stn t.city,state,and ZIP code) // ���
/ C . _ ...0 / fo a. -DT� a Le ,ana.
.. r ASSESSED VALUE ' HOMESTEAD NON-RESIDENTIAL'-
ASSESSOR USE ONLY.., I,TRUE TAX-VALUE d: I-
- :1--rt: a ,AL-100%OFeTTV . :VALUE :. -VALUE-.
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(lined 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)
_ 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 hone.
Signature of Auditor Date signed(month,day,year)