HomeMy WebLinkAboutHomestead_Mann (2) <0ni+ CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
4t STANDARD /SUPPLEMENTAL DEDUCTION �Ro
6 State Form 5473(R13/12-09)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions.
- .: 1
ry ) cipal
place of residence or am(are)buying the following described 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): OCT 1 0 2013
❑ Own ❑ tenant-stockholder(are) ckhol under ofr 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 peratggesplcou.
❑ Am (are)the shareholder, partner or member of the entity that owns the property. Y AUDITOR
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If buying on contract,Fee Simple owner's name
Recorders office where contract is recorded Record number Page
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-�'iJ,e-' �. . ." ;PROPERTY,DESCRIPTION,c�;;= ;,_- _ _ . .
County Township Taxing district(city,town,township)
Ant 7ekts--.e.c.,
Parcel number Legal scription Is the property in question:
yici( .,a2 I 1 0 ❑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.
a6? -i9-1q - d- 03 - 00/, elsa -oa6
_ - _ , - ,; . PROFERTYAOWNED BY CLAIMANT:IN OTHER COUNTIES_ „6. ;--; , _ , „.- ,,,v
County 1 Township County Township
I hereby certify the above statements are true,correct and complete. Si na r o aimant
,
Address(number and street,city,state,and ZIP...e)
XI 7 8So Lo e Pal/ I 1-N LI76148
rr ASSESSED VALUE - HOMESTEAD' - NON-RESIDENTIAL
ASSESSOR USE ONLY �..e. ,II T�UE�AXV ALUA 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 pits line 7) (8)
I hereby certify the above is true,correct, Signature of Assessor Date signed(month,day,year)
and complete. n .
Verifying action-Signature of Auditor y✓ 4�..+.n_ R la a signed(month,day,year) 41-
_. _ _ STANDARD 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.
Syria ure of Auditor . Date signed(month,day,year)