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HomeMy WebLinkAboutHomestead_Luttrell (4) CLAIM FOR HOMESTEAD PROPERTY TAX YEAR a__ '_,_ STANDARD /SUPPLEMENTAL DEDUCTION FORM �y"' State Form 5473(R13/12-09) HC10 \,u.. Prescribed by the Department of Local Government Finance INSTRUCTIONS:See reverse side for filing instructions. �LC.�.d+r •� J I c k� ,Lx - - CERTIFICATION STATEMENT -- I(We) A ll e a ��-- i- certify that I ; e)o . t;ed : ; 0{rr clpal 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): JUN 2 5 1013 El Own El Am(are)buying under recorded contract C J . ❑ 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 pe onal re 34L�L+ ❑ Am (are)the shareholder, partner or member of the entity that owns the property. IBSON COUNTY�AUDI- El TOR _ - vfa V -3 ,;k."_.: C-L;4IMANTiSiINF_ORMATION . M 'f -Se :: n :_ + °• If buying on contract,Fee Simple owner's name r Recorder's office where contract is recorded Record number Page ;.L N.* _ tit _ . : ::,,v`.. -.P,ROPERTY DESCRIP.TIONt °',i-i .r 4 `__'".'t . . County a Township Taxing di (city,town,township) Parcel number Legal description • 14115 •L Is the property in question: NN C 4 -1_ / ❑Real 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 properly utilized to produce income. ACo — b 4 - 2 c -,Zool - too. 5,1. 8 -0 ,t6 -• - .11.7_,-....- r _ ,-< -S l A O P E R T Y�O W N E D:B Y CLAIMANT IN OTHERCOUNTIES;_ :_ - *;;;An' _ R• : County 1 Township County Township I hereby certify the above statements are true,correct and complete. signature.• •aima;. - „,---- // ......4' r ..r i iy3 Address(number and street,city,state,and ZIP code) e �' '5-1 - p ' -. :� . 2, , . V ,n• ' - - ASSESSED VALUE :HOMESTEAD ' tititTRESIDE TIA nr '''=' ASSESSOR USE ONLY- - I TRUE TAXVALUE-I I I.r _ , -. .- --. _ . . . .T a.-.� z- vases_ -.:aATr:100%-,OF:iTT,Vit k. 34 -� .�e'a -z:VALUE.-._.i., . -rtz 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/Manufactured Home Garage (5) Other improvements (6) Total improvements(line 4 through line 6) (7) Total value (line 3 pits 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) - - `'STANDADDEDUCTIONALLOWANCE 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 $ 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 home. Signatu o ditor ,. Date signed(month,day.year)