HomeMy WebLinkAboutHomestead_Foster (2) °'" CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
STANDARD /SUPPLEMENTAL DEDUCTION FORM
�3. State Form 5473(R13/12-09)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions. ..ii.
._.Th, n - --17-•‘-] -CERTIFICT•'.SAN STATEMENT _ _ _
I(We) ,V� ��- �' tr ' ce • tha we occupied as my(our)principal
place of residence or am(are) .uying the following described real property for which a Homestead Property Tax S(ar{dard0edystiem is hereby claimed
under contract on the date this application is filed, (date of filing). I(We): MU'] G V LU 1 J
❑ Own ❑ Am(are)buying under recorded contract
❑ Am (are) entitled to occupy as a tenant-stockholder of a cooperative housing corporation � W(1��/��
❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualifgtl®S ttOQ 0 rtA gPITOR
❑ Am (are)the shareholder, partner or member of the entity that owns the property.
`4 '+r!- CLAIMANTS.INFORMATION>,
.__
If buying on contract,Fee Simple owners name
Recorders office where contract is recorded Record number Page
vi.-47,,_r: __ ..ti i _.'::. -:- adxC" t '-=P,ROP_ERTYeDESCRIPTION:.-.mac 3 _r_.fliCiat ;111_ :. _. _ `;r:-Z
Cou Township Taxing district( townshi )
71 Jason one m eI'y�
Parcel-pumber Legal description Is the tee property in que o
d, /7-a 0—doo-oo3,9 o7--oa/ 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.
•
. aj:t ._PROPERT`l,I)WNED BY CL AIMANT 14:0THERi000NTIESy _,.- T _:_..t;„,---,4:• .
County I Township County Township
I hereby certify the above statements are true,correct and complete. Signature of claimant
Address(number and street,ay,state,and ZIP code)
• s>a _ . - a t . . .. tj\�Q ,S tJ- CA1lolos
• r ' °�"' ' ' - ASSESSED'VALUE, HOMESTEAD - "NON=RESIDENTIAL -_•_ASSESSOR:USE ONLY r I-TRUE TAX-VALUE I I _ :�,•
- , . -. 4.:-..- u -_..-s-:xta-�s:etti,. .cam_-a >:-.t AT_700%,0E,TTV:w .- -)-.VALUE: . _ 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) (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)
e= : - - STANDARDiDEDU¢TION 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 asse ed as real properly or to a manufactured home that is not assessed as real property may not exceed
one-hall(/2) the assessed value oVhe mobile home or manufactured home.
Signature o itor - Date ned(month,day,year)
LLC,mu g-ao- /3
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