HomeMy WebLinkAboutHomestead_Gray (5) a CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
;T ': STANDARD /SUPPLEMENTAL DEDUCTION FORM
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State Form 5473(R13/12-09) HC10
SON--�/ Prescribed by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions.
CERTIFICATION STATEMENT -„
I(We) in t�! _allt�LG __ _certify th..: w- + `-r-d - —principal
place of re-•ence or am(are)buying the following de-, bed 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): JUL 2 6 2013
❑ 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 pn lip AUDITOR
❑ Am (are)the shareholder, partner or member of the entity that owns the property.
'Y'-- .. t;.
- - - CONTRACT RECORDED'_ '
If buying on contract,Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
. _ r .--PROPERTY DESCRIPTION ' ,' . • .-. _'..
County Township Taxing district 0-467-41--4.-44
town,township) -
Parcel number Legal Qdescription / Al Is the proppe rti question:
T f- j4'6 0 16 PT ,6 LK/ ❑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 property utilized to produce income.
; (o- 1L1-/8 - 303 , 000• 3 a a - to7
PRO_P,ERTY;,OWNEO BY-CLAIMANT IN OTHER COUNTIES,,_ - -"'
County Township County Township - _ -4
I hereby certify the above statements are true,correct and complete. ignature of claimant
ASSESSOR USE ONLY • TRUE TA7(VALUE ASSESSED VALUE HOMESTEAD NON-RESIDENTIAL s_E
A7_100%OFaT.N I . 'VALUE :I 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(line 4 through line 6) (7)
Total value (line 3 plus line 7) (6)
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 ALLOWANCES -. _
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 lC 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.
Sgnat re o Date signed(month,day,year)