HomeMy WebLinkAboutHomestead_Sailer (2) "'" CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
A-_ A STANDARD/SUPPLEMENTAL DEDUCTION
State Fonn 5473(R13/12-09) ! r ',
e' ,e !. Prescribed by the Department of Local Government Finance I� `�` "
INSTRUCTIONS:See reverse side for filing instructions. I OCT 1.8 2013
` CERTIFICATION STATEMENT - , _ - ..
I(We) a, r _ certify that I ti,7h°_;ijklif -y our)principal
place of residence or am(are)buying the following described real . ..erty for which a Homestead PropertyaN- ti R--.i:114 rA a UI berelzv..daimed
under contract on the date this application is filed, (date of filing). I(We): Uhl
5*. n ❑ 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.
>, -fie -.,- . -- . . TISI -v -_ .A,y F... -
--„-e ?--* . - , ,. CLAIMANT S;IRFORMATON�r - �' �` ^``
.�:.CONTRACT,RECORDED,- ±if - __. -
If buying on contract,Fee Simple owners name
Recorders office where contract is recorded Record number Page
• . 4- . { - 1.1 P,ROP-ERTV.DESCRIPTION,._ " - +t' ::e. - ---:'1thi r.:_:-
County Township T mg district(city,town,township)
Parcel number A]�� Legal description Q I Is the pert in question:
..L- Al-Ia aoi - d7-tb_4'-" eat 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 surround at structure is used to produce income,describe the use and portion
of the property utilized to produce income.
- u PROPERTY OWNEDBY CLAIMANT INOTHER-COUNTIES _ . `
County f"-I Township County ( � I Township
I hereby certify the above statements are true,correct and complete. Signature of cl imant iG�GC!
Address(number and street,city state,and ZIP code)
, 0 70: d . . i-M/ncvhs,e try 4/ 7( 7o
\ ASSESSOR USE ONLY • g . ;I,TTTTTTTTRUE TAX VALUE AAT_E00°%OFiTTVE l, HVALUEAD'-I NON-RESIDENTIAL s��
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) r
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 i 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 $
MI 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 or manufactured home.
Signatur of Auditor Date signed(month,day,year)
"S—rtif9._.- 10 -- 1 $-\3 .