Homestead_Zenthoefer (4) In*I CLAIM FOR HOMESTEAD PROPERTY TAX YEA
4_,1• .% STANDARD /SUPPLEMENTAL DEDUCTION FORM /]]RR
State Fonn 5473(R13/12-09) HC1O /2/// !.:
( Prescribed by the Department of Local Government Finance �
for which a Homestead Property Tax " -nda• uctiin is hereby claimed
under contract on the date this application is filed, (date of filing). I(We): DEC 3 2013
E7 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
❑ Am (are)the shareholder, partner or member of the entity that owns the property. GIBSON COUNTY AUDITOR
, _ 7¢r::- _.z:..< ; ... ` s` .. 1C�Li-41MANT S.INFORMA lthi ` -2.."" `+. t .. a£'. _ ? ,.e ;r_
`_ . .-
If buying on contract,Fee Simple owners name
Recorder's office where contract is recorded Record number Page
aw - .`. ._ `PROPERTY DESCRIPTION?_ 1,7fv'- `,'sr' � __._
County Township I Taxing district(city,, wnship) I
Parcel number Legal escriptionn./ ''') Is the property in question:
.74-/9t7/-0769 •coo? 4j,5(/ cS /WI-OC 1-,7-/0 /a p Real property El Annually assessed mobile home(IC 6-1.1-7)
It 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.
076—/ 9 - a / - woo - ooa, 346 - oa.5
...—�__. .7 < ew .
s ,_ ,_ ;---. --�FROPERn�OWNEDBY-CL:4IMANTIN-0THERcCOUNTIES, _ - .'t._ - _ -
County Township County Township
I hereby certify the above statements are true,correct and complete. Signature of claimant
Address(number and street,city state,and ZIP code) K "2,
7 i9 . S ,XOE or-k- "Branch, 3A/ 4� p48
`� N ASSESSED VALUE HOMESTEAD - . NON-RESIDENTIAL '
ASSESSOR USE ONLY :-TRUE TAX VALUE '
AT:10O/o OF3TTV,__ 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) I --- —
Residential improvements or Annually
Acsacsed 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-t I-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(1/2)of the assessed value of the mobile home or manufactured home.
Signature oidito/r/
j • Date signed(month,day,year)