HomeMy WebLinkAboutHomestead_Hunsaker zeCLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
\ STANDARD /SUPPLEMENTAL DEDUCTION FiC70
State Form 5473(R13/12-09) DU_y f
,� Pr escribed by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions. S`day o f Dptant2 A N
_ ���CERTIFICATION STATEMENT. _ -- _
I(We) � �1�ili!/inAi I/i,.1• _v y:-- -d as my(our)principal
place of residence or am(are)buying the following described real property for which a Homestead property Ta +ft•-- d DeducI,onAlltltfmby claimed
under contract on the date this application is filed, (date of filing). I(lrfpef)Ce'p Vikon County
EOwn ❑ 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.
4.
. CONTRACT RECORDED:4. ._._«_f>»._ .__ . .
If buying on contract,Fee Simple owners name
• Recorders office where contract is recorded Record number I Page
I
- ''PROPERTY-DESCRIPTION _ - _ _ _.. _ _
County Township Taxing district(city,town'.wnship)-
C Al . • I/. _
Parcel number Legal description_ Is the property in question:
.52: _ Real property El Annually assessed mobile home(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 property utilized to produce income.
a6VQC7 -/o 1 - oo l. .Q53/- 0ag •• - .. _ PROPERTY,OWNED BY CLAIMANT IN OTHER;COUNTIES -.__. - •-v. r
County I Township County _ - -
I hereby certify the above statements are true,correct and complete. Signam�of aimant ill= s
Address(number and street,city,state,and ZIP code) .
a2 t Dell .- :at- .41, I .
. ASSESSOR USE ONLY : I TRUE TAX VALUE d AAT.100%OF SfV -I H�VALUEAD _ I NON- VALUE
Land not exceeding 1 (one)acre immediately
surrounding residential improvements. (1)
Other land -'-‘,}' (2)
Total land(line 1 plus line 2) (3)
Residential improvements or Annually Dwelling (4)
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)
-
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 exi.ee.l _
one-half(1R)of the assessed value of the mobile home or manufactured home. -
Signature of Auditor Date signed(month,day,year)