HomeMy WebLinkAboutHomestead_Emmert " CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
de. STANDARD / SUPPLEMENTAL DEDUCTION HCRo
State Form 5473(R13/12-09)
'O �' Prescribed by the Department of Local Government Finance .
INSTRUCTIONS:See reverse side for filing instructions. -1 )•-1 5 1 Li, — a el ?- g
,i _ CERTIFICATION STATEMENT - - -
I(We) !rlf»'� � . - - certify that I(w o ie s rr�•y eMr ;pal
place of re-iden _or am(are)buying the following described real property for which a Homestead Property Tax Stand d Deeuc n is by
under contract on the date this application is filed, _ (date of filing). I(We):
❑ Own ❑ Am(are)buying under recorded contract OCT 11 2013
❑ 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 resid trust
❑ Am (are) the shareholder, partner or member of the entity that owns the property
/�/►►
If buying on contract,Fee Simple owners name
1 Recorders office where contract is recorded Record number Page •
,I
_ - .. 'PROPERTY DESCRIPTION - _ -
County Township Taxipp,district(city,
Parcel number Legal dexdPUon / I Is the property in question:
r i_. //S /o ❑Real property ❑ Annually assessed mobile home(IC 6-1.1-7)
If any portion of the residential structure or the land land not acre that immediately surrounds that structure is used to produce income,describe the use and portion
of the property utilized to produce income.
A6,— /9_ 3p 307- 000. /OD - oo 9
_ _- _ - - PROPERTYLOWNED BY CLAIMANT_IN OTHER COUNTIES_ - - _ � _;:;-. i
County Township County Township 4
I hereby certify the above statements are true,correct and complete. i9natu of claimani�. - `
/Addr/Address(number and s ,';city state,and ZIP code) G).
ess N. 441,s-facet-S - , /N 41747 S • .
•ASSESSOR USE ONLY � E E HOVEAD - 'NON-AX V UE
- ,_ yAT00%OF TV VALUE VALUE-• 4 .
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_DEDUCT(ON_NS.__,NCE' -
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(1/2)of the assessed value of the/mobile home oor-manufactured home.
Signawr oF / - Date signed(monN,day,year)