HomeMy WebLinkAboutHomestead_Labhart .v CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
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STANDARD /SUPPLEMENTAL DEDUCTION Z FORM
State Form 5473(R13/12-09) HC10
�° MHO Prescribed by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for firing instructions.
CERTIFICATION STATEMENT - - -
I(We) '_ :�'�I�W� - certify that I(w ied as my(our)principal-II
place of -sidence or at (are)buying the following described real property for which a Homestead Property Tax Standa e cti n is h re y S
under contract on the date this application is filed, (date of filing). I(We):
❑ Own ❑ Am(are)buying under recorded contract .
❑ Am (are) entitled to occupy as a tenant-stockholder of a cooperative housing corporation OCT 1 0 2013
❑ 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.
`!' _ - *-.t_ . .-:iilnd;�� _ .I 7 .x1..:=. cCLAIMANTiS.NFORMATION . c._..».`..- c?C�c^ ., P/ a . b�_'',..
CONTRACT RECORDEf)' - _ _ - - _-
If buying on contract,Fee Simple owner's name b ,v '
Recorder's office where contract is recorded Record number Page
' .I
'£ PROPERTY DESCRIPTION
County Township Taxing district(city town,township) •
�I/- Parcel number
�I Legal description �)r N .E I I, — q Is the property in question:
.Ztp-do—//- •10 ."L. -000. 0171-6°3 I- I • S D3 A C. I ❑Real property ❑ Annually assessed mobile home(/C 61.1-7)
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 utit¢ed to produce income.
- - x PROPERTYOWNED:BYcLAIMANT IN;OHER000NTIES
_ i , z __
County Township
County Township -r
I hereby certify the above statements are true,correct and complete. Signature of dai t `
,v Address(number and street,city,state,and ZIP code) •
I )o E. A • &II Li li a_ h. q • r0
ASSESSOR USE ONLY :- . •I.TRUE TAX VALUE�.ASSESSED
T 100%OF TTV I-r&,- VALUE- - I ..° NON:RESIDENTIAL 1
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)
$TANDARD: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(12)of the assessed value of the mobile home or manufactured home.
Signature of Auditor . Date signed(month,day,year)
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