HomeMy WebLinkAboutHomestead_Beard (8) __-r4:' CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
STANDARD /SUPPLEMENTAL DEDUCTION I FORM
y State Form 5473(R13/12-09) HC10
:C i Prescribed by the Department of Local Government Finance y
INSTRUCTIONS:See reverse side
described real property for which a Homestead Property Tax q rd Deduction is hereby claimed
under contract on the date this application is filed, (date of filing). I(W40V S LU 1i
❑ 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 term a� li(>�Cj(gl rdllaAk4EW trust
❑ Am (are)the shareholder, partner or member of the entity that owns the property.•
- _ •o- . t__ ..... ;ar y CrIAIMANT'S1NF,ORMATION-_ .:1.2 <_c 4 z�Ts'. . . _.c',
.:..` _ ._.
If buying on contract,Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
-,_ - .•_ PROPERTY DESCRIPTIONA__ n_ - ,?arc{ S
`County ,
•
- • , Township Taxing district(city, o r�n ip)
1 . `1
Parcel number.�p ��r�� al description Is the pro..M in question: 1
- A I —ICH Deli I .00 —1 ( ,i I 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-that structure is used t6 produce income,describe the use and portion
of the property utilized to produce income.
- _ .• . - ..a ,aPROBERTY OWNED,BY CLAIMANT IN O THER COUNTIES. - -
_
County Township County I (Township
I hereby certify the above statements are true,correct and complete. Signaturf bf claimant r, ^•
•.dress(n rib beer and street,city,state,and IP code) /� I • U 'L' Oyu' K/yfJ(QGIt,� '
IP Jv a .. I_ .. pia al : : an
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE -HOMESTEAD NON-RESIDENTIAL -
. 'c- : -'_ .....,AT,100%.OF TTV _ - : VALUE-_ VALUE
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
Ascr.ccnd 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 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 611.1-12 to a mobile home that is $
not assessed as real property or to a manufactured home that is not assessed as real pmperty may not exceed
on' 'If 1 /2)of the assessed value• he mobile home or anufactured home.
Signal • dicer Date sig month,day ye
fill)l 1 . A 1—b8 y-1