HomeMy WebLinkAboutHomestead_Seibert (11) :.cute: CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
i'F STANDARD/SUPPLEMENTAL DEDUCTION OR
L T' -. State Form 5473(R13112-09)
<1S ' Prescribed by the Department of Local Government Finance '
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' �C�'Y���;.;�:,�..�.,,��.`.�t;Sar�,�� CERTIF,I_CATION STATEMENT •-• �L`ac.,� � -:�.:.
I(We) `�7- �� �T*!'�4�� certify i- I( 1 )•,•• pt ) ,ADO prinapal
place of residence or am(are)b el g the following described real property for which a Homestead Property Ta 'Stan rb rd:I=, •r- -,y claimed
under contract on the date this application is filed, (date of filing). I(We):
131-wn ❑ Am(are)buying under recorded contract FEB 2 7 2014
❑ 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 'den
❑ Am (are)the shareholder, partner or member of the entity that owns the property. r, ,• NTY AUDITOR
mot- '" '� •. T ` �$'' CLAIMP:NT'SjINFORMATION MrY i't:e3 ��erra'' r=z •r
'
If buying on contract,Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
-;, ie- I. r ";, x= PROPERT CR -„",tea 'x_°. -rS.11:a. 1 Fat jaaai'ti f'.
Zvi e��,.n '$+ ��.���e .��_ Ys___ _ IPTION..
County Township Taxing district(city,town,township)
arcell uS� r Legal description Is the in question:
O _/'.(�L 1{D D_W h•7'.4 .�y Real property ❑ Annually assessed mobile tame(IC 61.1-7)
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. ��/��
L)ati , I r\ 13u i I
- Y.,,cr F3s w'' PROPERTY„OW�~NED BY C AIMANT IN;OTHERSCOl1NTIEv'ty ti 'F tti - .e,_«:
County Township
I hereby certify the above statements are true,correct and complete.
A ;IA A Art.1 is A IAR ' _ : !'__.
AddressAnumber and street,city slate, code) /t V 1 / f
• • Onl e ' • S, Imo+
vv'i s r, -/"" 114 ".". CL�V�rr,* '+jai'" triTAM « ASSESSEDrVALUEI% OMESTEADTRSAtiNON RESIDENTIALf 47
." f ASSES�OR�IISE O LYry atr«ttiete TRll ike V_ALU ISAT4100%IOF.rTa,V,Tr.„-araiVAIILIEv'*s tlit_,3fa ss X-VALUE YAS
Land not exceeding 1(one)acre Immediately z -` z' 'r
surrounding residential Improvements. (1) +. . '
Other land (2) -
Total land(line 1 plus line 2) (3)
Dwelling (4) i =i A s.. :t•"' "•
Residential Improvements or Annually
Assessed Mobile I Manufactured Home Garage -4---..73'11,1,--
` + - -•` '
(5) -s2' a c r
Other Improvements (6) - -,.- .-_,-}
a
Total improvements(line 4 through line 6) in
Total value (line 3 plus line 7) (8)
I hereby certify the above Is true,correct, Signature of Assessor Data signed(month,day.year)
and complete.
Verifying action-Signature of Auditor Date signed(month,day,year)
�('`��i ftr-�t i�T.m'3 i�i?•: �lgsr� STAOAD�EUCTIO172.1O WAN CE.� =.-� et d-- ,*„§24 ' to ':reirA
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 riot assessed as real property may not exceed MVP G+"t�
one-half(1 of assessed value o mobile home or manufactured home.
Dat nee( fh,day,year)
signatura of r of-a v- l y