HomeMy WebLinkAboutHomestead_Hix (2) �" . CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
a__ 1, 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. ..j
„ -m CERTIFICATION STATEMENT : -
I(We) f/1117 �WTS� certify that I rn(wCe occupie ( y(our)principal
place of residence or am(buying e following described real property for which a Homestead Property Tax StaddaJ Adu�IMYS hereby claimed
under contract on the date • application is filed, (date of filing). I(We):
❑ Own ❑ Am(are)buying under recorded contract
❑ Am (are) entitled to occupy as a tenant-stockholder of a cooperative housing corporation C,IgSON COUNTY AUDITOR
❑ 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.theme entity that owns the property.
t °_'i71,th+” .A ifin IMF ANT.S.INFORMATIONra � .4,Z1.--.:_ - ,: _. r ,T 7..4,•:
ri ._ __,toe:;, _ 7s.Y��eF.rx: �CONTRACT�RECORDED7a:et�. 11i?ss!* _ ... , ...
If buying on contract,Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
}:,:r - 15 ,., c._ --`.. PROPERTY:DESCRIPTIONy,t 'd `s r.*�i '$.`a(ar g' s.111.'...IT°..-:' rt.3,r _1.
County / 7 �N � Township Taxin•di-Itr(aty, (/Tnwnshiel///-�7
Parcel number U� L •e- •ptiQn ^ / -e /OIIII the���,inquestion:
!!!!!!r/////� 7 /� /O/O ,L72,4 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 surrou•ds at structure is used to produce income,describe the use and portion
of the property tilized to produce income.
cg-47-A,--- am-6:09X-Qa 99a L90 • 6,,ea C96t0,c.t,
r °a o-4 s. 2.- 7. — _-3 7 P ROP_RTW EDBY C
AIMAN,IN O THERCOUNIEC ::::%.„2.'" _ ,,Z iw -'y` 3 .
County Township
County Township
I hereby certify the above statements are true,correct and complete. Sign. ure • a /,_ / - /4 `
Address(number and street,city,state,and ZIP code) `17,� �K7 / T ,,// �/ -7
iI I Ar . / . /DP i/f) e i Ve..�7i .1-/V I G7a
s' - "' "' = '`�' ±,ex",,. ASSESSED-V-Ar-UE OMESIEAD NON RESIDENTIAL _
$SESSOR USE ONLY�_ r..Y�„� I:;TRUEcTAX;VALUE :IwATs100%.OF_TTVz -....;a* VALUE I 1-2-;::::-. }
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 l Manufactured Home Garage (5)
Other improvements (6)
Total improvements(line 4 through line 6) (7)
Total value (line 3 pha 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 DEDUCTIONrAL'LOWANCE�'r V �=-��' '+ r �y,,,s.a:4,.�.y "w
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(1,2)of the assessed value of the mobile home or manufactured home.
Signature of Auditor Date signed(month,day,year)