HomeMy WebLinkAboutHomestead_Carlisle 4�Mk CLAIM FOR HOMESTEAD PROPERTY TAX FILED YEAR
, ', STANDARD /SUPPLEMENTAL DEDUCTION FORM
State Form 5473(R13/12-09) DEC 2 0 1013
FORM...,-r Prescribed by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions. si
'4 .*0110.11.
• _ _ CERTIFICATION STC.ItMFN T - I - •
I(We) As,/MO s i / .fl certify that I(we)occupied as my(our)principal
place of its',ence or am(are)buying dir ollowing described real property for which a Homestead Property Tax Standard Deduction is hereby claimed
;
under con ,.ct on the date this application is filed, (date of filing). I(We): [
Ea Own ❑ Am (are)buying under recorded contract Q//pyZQ ��
❑ Am (are)the shareholder, partner or member of the entity that owns the property.
Ji.4};>•i.._.. -- - i, L'AIMANT;SrINFORMATION„�, �1,I� _i .,.�ygF. is �. ._•"r - :a
- _ - ,- 14 v;:LLCONTRACT RECORDED,;._ . _'_: _-.;� u '.. _ _ , -_
If buying on contract,Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
'::. . - _ '- "- .PROFERTYDESCRIPTION=F- • -
County Township 1 Taxing district(city,town,towrlshpf) i
Parcel number Legal description I Is the property in question:
p'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.
- /0 Rio -id /03 coo 360 oa 8
a='- PROPERTY OWNED BY.CLAIMANT IN OTHER,COUNTIES _ " ' „ 'r
County Township County Township
I hereby certify the above statements are true,correct and complete. Signs claimant ,9I e"-e-----.).
Address(number and street,city,state,and ZIP code) ��
4 7 ._ ter a f 5 1-e 5A- 211✓cs Of/ ICJ I �74. 7a
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD• 'NON-RESIDENTIAL .
- ..� s r- is- -1 lx.,w - .--' AT-100%OF�TTVta�s. VALUES I _ VALUE . ..
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)
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 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 properly may not exceed
one-half(1/2)of the assessed value of the mobile home or manufactured home.
Signature of Auditor Date signed(month,day,year)
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