Homestead_Stone (4) <an'*a CLAIM FOR HOMESTEAD PROPERTY TAX � ,€
4 STANDARD /SUPPLEMENTAL DEDUCTION FORM
State Form 5473(R13/12.09) HC10
\\�—�� Prescribed by the Department of Local Government Finance DE r t �;j
INSTRUCTIONS:See reverse side for filing instructions.
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Property Tax Standard Deduction is hereby claimed
under contract on the date this application is filed, (date of filing). I(We):
gOwn ❑ 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 residence trust
❑ Am (are) the shareholder, partner or member of the entity that owns the property. I
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- dc./c +. ..`.- _ _T aCLAIMANTbS INF_ORMATION;.:.:, 'TT- . . .._ - 73;14214s.
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- -:--CONTRACT RECORDED_', _ _ - - _ is +-
If buying on contract,Fee Simple owner's name
Recorder's office where contract is recorded 1 Record number Page •
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2,;;:,P,ROPERTY DESCRIPTION. ,. _ __,
County " - �^/ , Township T. 'ng distil ,town,to. nship)
Parcel number vN L cripti ` n n- I the p party• uestion: I
`♦b� � ' /� %'J —1/ Real pmperry ❑ A airy assessetl mobile home(IC 6-1.1-7)
If any portl�/5f the residential structure or the land not exceeding one(1)acre that immediately gyro�s t cture is used to produce income,describe the use and potion
of the pro py utilized to produce income. O/!
do _/c-d 2 cioc-cos-od9 o / .
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PROPERTiY,OWNED BY CLAIMANT INOTHERZ�COUNTIES - - -• -- -{:..
County Township County Township , A
ignature of claimant • - `
I hereby certify the above statements are true,correct and complete. � • I I ('
Address number and street,city,state,and ZIP code) I 4
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. • _ S W S.__ . . � * - - � •.--► 1 1 1 : iZ ._ . S
ASSESSOR USE ONLY • - -I'TRUE TAX VALUE a1 ASSESSED OF VALUE' HOMESTEAD -I . NONE VALUENTIAL. - '-
Land not exceeding 1(one)acre immediately
surrounding residential improvements. (1)
Other land (2)
Total land(line 1 plus line 2) (3)
Residential improvements or Annually Dwelling (4)
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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' . . STANDARDDEDUCT_ONALOWA4 NCE -
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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 Date signed(month,day,year)
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