HomeMy WebLinkAboutHomestead_Henson Z CLAIM FOR HOMESTEAD PROPERTY TAX r YEAR
- . STANDARD/SUPPLEMENTAL DEDUCTION FORM
iState Form 5473(R13/12-09) • HC10
„ u Prescribed by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions. - 1/p? P799 9 3 9 /4 w
/'� - CERTIFICATION STATEMENT - - -
I(We) 'a 4 / L/ H1?AkS p fl certify tha a pied s y . t.rindpal
place of residence or am(are)buying the following described real property for which a Homestead Property Tax r dar l D duoth: • claimed
under contract on the date this application is filed, (date of filing). I(We):
DOwn ❑ Am(are)buying under recorded contract NOV 27 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 re ence t st
❑ Am (are)the shareholder, partner or member of the entity that owns the property.
D OR
c a - ,-ely.' 'P CLAIMANT{S INFORMATIONf - -,r ''.+"e a . `LiAlli-4;_1:_ - , ;
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If buying on contract,Fee Simple owner's name _
I
Recorder's office where contract is recorded Record number Page
_. - -e ..i... T. _ -P.ROPERTY,:DESCRIPTIONr4- -:i< - " - _ ?..t:`>
County Township Taxing district(city,town,township,�I
11 -i/A u i `I
Parcel number Legal description / Is the(property in question: I
26-/H-/ k-,3a4/ co/ C7Ok - oo -7 cS - &, O I/L I 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;mounds that structure is used to produce income,describe the use and portion
of the property utilized to produce income.
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• _ 'LA.,PROPE_RTY.?OWNED BY CLAIMANT IN OTHER COUNTIES r d,Y°r,;,;-•_ . - >• -: L
County Township -County - .I .. -� Township
I hereby certify the above statements are true,correct and complete. Signature of,Uaimant
X mac. D.!14• -
Addre s(number and street,city,state,and ZIP code)
_ _ , 3 - C-/"1 Oc k/o,dCrfly -? V. L/7t0(PO
•
ASSESSOR USE NLY O I TRUE TAX-VALUE
ASSESSED
.-:_ OF�TNVALUE -HOMESTEAD NON-RESIDENTIAL
tn 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
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)
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- - STANDARD-0EDUCTION 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(12)of the assessed value of the mobile home or manufactured home.
Signature of Auditor I Date signed(month,day,year)
or
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