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HomeMy WebLinkAboutHomestead_Morrow °'" CLAIM FOR HOMESTEAD PROPERTY T I YEAR STANDARD / SUPPLEMENTAL DEDUCTIO 'LED FORM �N°a State Fonn 5473(R13/12-09) HC10 �, t Prescribed by the Department of Local Government Finance - JUL 2 4 2013 INSTRUCTIONS:See reverse side for filing instructions. _— __ . CERTIFICATION STATr MENT. I(We) r _A • i M_ ®filfY that I(we)occupied as my(our)principal place of residence or am(are)buying the following described real prope or which a Homestead Property Tax Standard Deduction is hereby claimed under contract on the date this application is filed, (date of filing). I(We): 1S► n ❑ 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. -_ `. -;'.`. _ . . _ _ cas' 4LAIMA"--NTINFORMATION:. .. ._ s �W -' `•1 '? i .,.-,.. If buying on contract,Fee Simple owner's name Recorder's office where contract is recorded Record number Page :-;; - -PROPERTY DESCRIPTION"_, County Township Taxing district(city,town,town^^ip) •Parcel number Legal description Is the property in question: eal 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 su s that structure is used to produce income,describe the use and portion of the property utilized to produce income. • .d4 - /3 -/9 - zoz- ati 0/4/ 00,5 •• -' PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES - County Township County j Township I hereby certify the above statements are true,correct and complete. Sign/lure of claimant - 1 `l(k 24-+_-/- ` 9L.A--/ Os e ) •.d- ess(number and street,city,state,and ZIP code) r f , 7 66/9 ASSESSOR USE ONLY a-I TRUE TAX VALUE AT-100%OF TTVE I HO VALUE. D NON- VALUENTIAL_' -- 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 um 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. Signature of Auditor Date signed(month,day,year)