Homestead_Wright .�'"""o CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
z, STANDARD /SUPPLEMENTAL DEDUCTION FORM
State Form 5473(R13/12-09)
� � Prescribed by the Department of Local Government Finance --
INSTRUCTIONS:See reverse side for filing instructions.
_ CERTIFICATION STATEMENT
I(We) �.�. ��a-� ' L r`u_ certify,. ,t I ; e . p:r(as fey(> r)principal
place of residence :r am(are)buying the following described real roperty for which a Homestead Property - •:. -: -dttiettidn-it.• `eby claimed
under contract on the date this application is filed, (date of filin 9) I(We):)
❑ Own ❑ Am(are)buying under recorded contract , DEC 2 2013
❑ Am (are) entitled to occupy as a tenant-stockholder of a cooperative housing corporation I
❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified pers •
❑ Am (are) the shareholder, partner or member of the entity that owns the property. GIBSON COUNTY AUDITOR •-_ t s1.it v- •y . _ -t.. 3CLAIMANT S;INF_ORMATION;-'_ -_`__ia _"'�,�, .s::xr@c 1'_- `-'
If buying on contract,Fee Simple owner's name ,
Recorder's office where contract is recorded Record number 1 Page
.l
'gi . - S.PREISA Y,DESCRIPTION,_ - '>,
County Township Toxin g,di�trict(qty,town,township)
.4
Parcel number L al description /do/ Is the property in question: f
!0l /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.
2& - 1A - I - 3p0 - 003. Li Y1 - o18
, - - PROPERTyOWNED,BYCLAI MANT IN OTHER , _ , :..r_
• ,•s
County Township County Township
I hereby certify the above statements are true,correct and complete. ure.of claimant a. .,,,,t,.,,
Address(number and street,city,state,and ZIP code) � , I Cr.�r', �.�6
G I,
ASSESSOR USE ONLY _ I:TRUE TAX VALUE d AAT 100°/OF TTYE I -HVALUEAD I NON' VALUEHTIAL
Land not exceeding 1(one)acre immediately
surrounding residential improvements. (1)
Other land (2)
Total land(line 1 plus line 2) (3)
I
I
Dwelling - (4)
Residential improvements or Annually
Assessed Mobile/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:DEDUCTIONALLOWANCEi. `' -
20 pay 20 Lesser of 60%of the assessed value of the homestead or$45,000
Notwithstanding any other pm vision,the sum of the deductions provided in IC 6-1.1-12 to a mobile home that is $
not assessed as real properly 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.
Signet re o i'P ..".�� Date signed(month,day,}rear)