HomeMy WebLinkAboutHomestead_Mason (2) za'''3 CLAIM FOR HOMESTEAD PROPERTY TAX - YEAR
STANDARD/ SUPPLEMENTAL DEDUCTION FORM
� State Form 5473(R13112-09) i_ii
,� Prescribed by the Department of Local Government Finance - j R !
INSTRUCTIONS:See reverse side for filing instructions.
II :Li n CERTIFICATION STATEMENT . •
I(We) I -S/ • certify that I(we)occupied as my(our)principal
place of resin e or am 0-)buying the following described real property for which a Homestead Property Tax Standar�lDed ' ereby claimed
under con :ct on the dat- is application is filed, (date of filing). I(We): N
0 Own GIBSON COUNTY AUDITOR
❑ 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.
t. , :7 t-it.s -:mss• -:CIA,AIMANTiS_INF_ORMATION,1 N Tr._ -:if - .- girt ?_'_i'�f°"ct ;•
.1%,-..2 7-7 w',F x w...-_ , 5CONTRACTsRECORDED- __- _ ' ._ _._
If buying on contract,Fee Simple owner's name
Recorders office where contract is recorded Record number Page
.I
' _ t 7 1 - .- `-:.- -.,,�„PROPERT ;DEWCRIPTION_.•C. _ `„t;:r
County Township Taxing di t(city,to township)
Parcel number Legal description I Is the pr perty in question:
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 surroun that structure is used to produce income,describe the use and portion
of the property utilized to produce income.
d —do—�3 —Jgo — COO /g9'CC)/
- .--- _ :r ,'..,adPROPERT�sOWNED'BY CllUMANT IN OTHER COUNTIES, .-2-,-...14,-,. ?,
County - Township County Township u
I hereby certify the above statements are true,correct and complete. Signature of claimant `
•ddress(number and street,city,state,and ZIP code)
109 E `?DOS CDAKIArs a+ - Th : g74C.
ASSESSOR USE ONLY • I TRUE TAX VALUE 1I SESSED I HOVALUEAD I NON- VALUENTIAL
Land not exceeding t(one)acre immediately
surrounding residential improvements. 1) FILE])
Other land (2)
Total land(line 1 plus line 2) (3) 0 T 112013
Residential improvements or Annually Dwelling (4) •Assessed Mobile/Manufactured Home Garage (5) , - --fi
.i
GIBSOhI I OUNTY AUDITOR
Other improvements (6)
Total improvements(line 4 through line 6) (7) .
Total value (line 3 plus line 7) (8)
I hereby certify the above is true,correct, Signature of Assessor - Date signed(month,day,year)
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
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)