HomeMy WebLinkAboutHomestead_Hix ''4 CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
>� `� STANDARD/SUPPLEMENTAL DEDUCTION .1�
State Form 5473(R13/12-09)
•°�2 Prescribed by the Department of Local Government Finance ;�t
INSTRUCTIONS:See reverse side for filing instructions. D r (
- ,, CERTIFICATION STATEMENT _ _ ,
I(We) .f Qi is'-e-e Pl.//I certify that I(we upied_._ . .•- • dpal
place of residence or am(are)buying the following described real property for which a Homestead Property TaxG$tand t. ,I• . •17/ft- eby claimed
under contract on the date this application is filed, (date of filing). I(We): MS• 0 UNTY AUDITOR
❑ 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 residence trust
❑ Am (are)the shareholder, partner or member of the entity that owns the property.
•.. . A^l*.s,e'Ts ( .:t:,..`'- c-CL'AIMANTiSINFORMATION. _ . .z LIII_a' n,c-.
_ -_ _
If buying on contract,Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
d
•
- - - - ���PROPERTY DESCRIPTION _
County Township - Taxing district(city,town,township)
Parcel number Legal description I I e perty in question:
Real property ❑ Annually assessed mobile home(IC 6-1.1-7)
OTHER-COUNTIES, _ . -., -
County - - Township County Township • J.
I hereby certify the above statements are true,correct and complete.
Sign tore aimant - `
Address cnumb-r nds 1 '4'state,an•ZIP ,-! �� /mil -A� e �7
` / �v /f/p 'f 'A �7, A ' We2TO&C) _Zia r ! 7o
ASSESSOR USE ONLY I TRUE TAX VALUE d_AT E00°E OF T.TV_I HOVALUEAD NON• VASLIUENTU\L
Land not exceeding 1(one)acre immediately
surrounding residential improvements. (1)
Other land - (2)
Total land(line 1 plus line 2) (3)
Dwelling (4)
Residential improvements or Annually
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)
- _ _ - STANDAR rallUCTICIn E-.toWANC _ , ,
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 teal 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)