HomeMy WebLinkAboutHomestead_Reinbrecht (3) a'.•,4 CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
4a_. STANDARD /SUPPLEMENTAL DEDUCTION H FORM p� State Form 5473(R13/12-09) •
\ e Prescribed by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions.
_CERTIFICATION STATEMENT _
I(We) .� i :— _�',a i.- � � - certify'that l( e .. upd - fY 'u ,l:pal
place of residence or am(are)buying - following described real property for which a Homestead Property Tax Standard Deduction Is ere.y 'aimed
under contract on the date this application is filed, (date of filing). I(We):
NOV 112013
❑ 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 re
t�
❑ Am (are)the shareholder, partner or member of the entity that owns the property. GIBSON COUNTY AUDITOR
.".. .t_. .
If buying on contract,Fee Simple owner's name
Recorder's office where contract is recorded Record number I Page
1
' `' - - _ - .;PROPERTY DESCRIPTION ' - _ _
County Township Taxing 7 tedistrid(city,town,
L
Parcel number Legal description) of SSat Is the property in question: I
4- 5 se 3/- 3 -/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.
,v 49- 3/ . 4D0 — 000. S y (9 - 009
• - _ -_ _ Y s.RROPERT OWNED BY CLAIMANT_IN,OTHER COUNTIES. -_ - _ ._ a
County I Township County I I Township ..
I hereby certify the above statements are true,correct and complete. /`
Signature of dai •• � s
I
' i- b •(number-.and s,--t,city, and ZIP Code/)_ ` 1 / / ��
�1 1. � 5 /f 7 � A/ i3
ASSESSED VALUE ' HOMESTEAD NON-RESIDENTIAL
ASSESSOR USE ONLY r I,TRUEfTAX VALUE°I_ATs100%OF,TTY .I- VALUE. --:I �
- -VALUE - 'e y'
Land not exceeding 1(one)acre immediately
surrounding residential improvements. (1)
Other land (2)
Total land(line 1 plus line 2) (3) -I- -
Dwelling (4)
Residential improvements or Annually
Assessed Mobile I Manufactured Home Garage (5) I
Other improvements (6)
Total improvements(line 4 through line 6) (7) I
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.
Veifying action-Signature of Auditor Date signed(month,day,year)
- - -_ - STANDARD DEDUCTION AL_LO_WANCE__ _ _ - -
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 aFreal 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.
Sig n re F Auditor Date signed(rrlonN,day,year)