HomeMy WebLinkAboutHomestead_Chandler (6) " CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
e-_rt- Y STANDARD / SUPPLEMENTAL DEDUCTION FORM
�" State Form 5473(R13/12-09) • HC10
� � Prescribed by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions.
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CERTIFICATION-STATEMENT - - - - •.
I(We) lbw/ ruse/M7a 7- i c i,that I .)o'i'd as my(our)principal
place of residence o.Q -ire)buying the following described real property for which a Homestea• op " r -- -•-. ction is hereby claimed
under contract on the •-te this application is filed, (date of filing). I(We):
ROwn ❑ Am(are)buying under recorded contract JUL 1 8 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 qua' • dente trust
❑ Am (are)the shareholder, partner or member of the entity that owns the property. GIBSON COUNTY AUDITOR
x.-- { nom-- ..-5'I a. „• ,.M1
-.s ,-.._ -=; -xCiL'AIMANT S_INFORMATION-,'� - - llZ�z. .�?,�'zj`v �'we .. t:.:: --_.
Name of claimant(legalna e)
�grry - 3 0 handler
Name of claimant's ouse(legal name) •/
Social Security number of claimant's spouse(last five digits) Driver's license/Identification/Other number Issuing State
of claimant's spouse(last five digits)
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If buying on contract,Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
County Township 1 Taxing dis .Wi ,,/�toowwiisship).--
Parcel number Legal de - tion Is the property in question:/�//'y'y�/_./I
.2 Real property El 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 surrou s that structure is used to produce income,describe the use and portion
of the property utilized to produce income.
a) to— //—p / —'lo '4/ —coo 5- oR
_" - *e '< PROPERTY AWNED.BY CLAIMANT IN OTHER COUNTIESS ' ' �'
County Township County Township
I hereby certify the above statements are true,correct and complete. Signature claimant
Address(number and street,city,state,and ZIP code)
• rte --- ASSESSED VALUE - HOMESTEAD NON-RESIDENTIAL - -
ASSESSOR USE ONLY - TRUE TAX VAL1.1-E: -
x e,-.-: _.tLe� -iraz -.ATTOIMOETTVssI,=-: --VALUE. . I VALUE
Land not exceeding 1(one)acre immediately
surrounding residential improvements. (1)
Other land (2)
Total land(line I plus line 2) (3)
Residential improvements or Annually, Dwelling (4)
Assessed Mobile/Manufactured Home Garage (5)
Other improvements (6)
Total Improvements(line 4 through line 6) (7)
Total value (line 3 plus line 7) (8)
hereby certify the above is true,correct, Signature of Assessor Date signed(month,day,year)
I 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 home.
Signature of Auditor Date signed(month,day,year)