HomeMy WebLinkAboutHomestead_Wallace (22) 1
CLAIM FOR HOMESTEAD PROPERTY TAX �T � • FORM YEAR
-4�, `._, STANDARD/SUPPLEMENTAL DEDUCTION FILED HC10
s`• State Farm 5473(R13/12-09)
S;41 I Prescribed by the Department of Local Government Finance OCT 2 5 2013
INSTRUCTIONS:See reverse side for filing instructions.�Q /1 CERTIFICATION STATEM MT, -
I(We) Cl(iy/[RT.G , it /1 n 4 ,r QIRSON COUNTY AUBditi'Q6tat I(we)occupied as my(our)principal
place of residence or arm//(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):
Own ❑ 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.
- d ".yx a-Wi; ti.- - - :CLAIMANT S INFORMATION: -: r ;Ti -,,."4..:e
CONTRACT-RECORDED'
If buying on contract,Fee Simple owners name
Recorders office where contract is recorded Record number I Page
.I•
'- -PROPERTY-DESCRIPTION _. -.
County Township Taxing district( ' ,to//2,41-0-0--
unship
Parcel number Legal description Is the property in question:
6-42 - 0 7- /o 3 - o0 3. 0, . 0 a R ❑Real property ❑ Annually assessed mobile home(IC 6-L1-7)
If any portion of the residential structure or the land not exceeding one(1)acre that immediately surroun s that structure is used to produce income,describe the use and portion
of the property utilized to produce income. ` n e
c/I do D.47 m.�. 7" 773 Sg-o 7 91' '
_ - PRJPERTYAOWNED_BY CLAIMANT IN.OTHER;000NTIES - -
t ,
County (Township County ..I Township .. -. A
I hereby certify the above statements are
^true,correct and complete. Signature of claimant. -
Address( m c4):s e,antl code) . ; , • r
to , vv a nfwt f`i'.4 Cc.{v J T
ASSESSOR USE ONLY I TRUE TAX VALUE ASSESSED VALUE HOMESTEAD D I NON- ENTIAL
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)
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 Oa)of the assessed value of the mobile home or manufactured home.
Signature of Auditor Date signed(month,day,year)