HomeMy WebLinkAboutHomestead_Sartore ze CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
= STANDARD / SUPPLEMENTAL DEDUCTION F FORM F
� State Form 5473(R13/12-09)
Prescribed by the Department of Local Government Finance im.
INSTRUCTIONS:See reverse side for filing instructions. n r 7 'Ain
; l n°�=��T ''--,,'''' CERTT�IcI��CA•7,ON STATEMEE-NT ° ""'° °
I(We) `�ll tirE �t ��R/.l. _�iT,re/�n '-rtify tha we)oc pie s our)principal
place of residence or am(are)buying the following described real property for which a Homestead Pro 4. ax n is hereby claimed
under contract on the date this application is filed, (date of filing). I(We): •SON COUNTY AUDITOR
❑ 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 personal residence trust
❑ Am (are)the shareholder, partner or member of the entity that owns the property.
/
If buying on contract,Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
° - PROPERTY DESCRIPTION
Township Taxing district(city,t wn, wnship)
rcel number Legal description Is the property in qu�• ,
rn• � � - I�6ea1 properly ❑ Annually assessed mobile home(IC 61.1-7)
ny portion of the residential structure or the land not exceeding one(1)acre immediately surrounds that structure is used to produce income,describe the use and portion
a n
of the property utilized to produce income.
°o PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES o
County Township County Township
4.
I hereby certify the above statements are true,correct and complete. Sigure o��f.�\/imam p--n
Address(number and street,city,state,and ZIP code) U
p 910IQ Y,• ` ,( Nd S+T _Q_o.4-
ASSESSORIMC):37 o I 1 VALUE ASSESSED VALUE HOMESTEAD I NON-RESIDENTIAL
IT 10o%SOF AA
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)
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
Notwithsta •"ng any other provision,the sum of the deductions provided in IC 6-1.1-12 to a mobile home that is $
not assess't a -al property or to a manufactured home that is not assessed as real property may not exceed
one-half(1 7 o' e assessed yalue,(] a mobile home or manufactured home.
Signature of• r I r/ Date signed y, e
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