Homestead_Sandifar (2) CLAIM FOR HOMESTEAD PROPERTY TAX
> STANDARD / SUPPLEMENTAL DEDUCTION , FORM YEAR
�• State Forth 5473(R13/12-09) HC10
,•�• ! Prescribed by the Department of Local Government Finance
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‘AO 1
INSTRUCTIONS:See reverse side for filing instructions.
_ .i L .CERTIFICATION STATEMENT° , x", T - - "
I(We) T • • .1 '„ e .t t -.1 na ra nt. • . +'t....7.11.4•111.14:..u�rufy at I(we)occupied as my(our)principal
place of residence or am are)buying the following described real property for which aQ�• -• ead Property Tax Standard Deduction is hereby claimed
under contract on the date this application is filed, (date of filing). I(We):
n ❑ Am(are)buying under recorded contract
Am (are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation
r
El 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.
_x ..,
' :. . = -. er. : ' :._.._ CLAIMi1NTiS INFORMATION _ "_ •r... _- c ' -4 Sit:_,Iil--.taa
. -, —. _ -
If buying on contract,Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
- .RRORERTY•DESCRIPTION - - _
•
County Township I Taxing district(city,town,township)
Parcel number L al des ption Is the property �stion:
• —""'" ' //h �eal property ❑ Annually assessed bile 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.
Z 6,_ i 4- I S - /o xi_ COO ,100 00 7
_ :PROPERTYiOWNED BY CLAIMANT IN OTHERCOUNTIES: , -
r
County _ I Township County Township u
Signature• t `
I hereby certify the above statements are true,correct and complete. g
AdQress(number and s - t.city,state,and ZIP code) t' •, .. t 1 .
Xj ' 1. • i ,_ ••�,
ASSESSOR USE ONLY I TRUE TAX
VALUE VALUE d pT_-f 009`OF TTVVALUE I HOMESTEAD I NON-RESIDENTIAL
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 phs 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)
' 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 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)
INDIANA SALES DISCLOSURE FORM SDF ID:
-D:PREPARER'.; e - Page 2
LaCa^.via O:onn - ..
rrem-er:'h.aern mRhsre:ee Cesar
9225 Frinllty 1:•ay Well Drive x:10 - .Seaup•Title Services LAX axer„q:wmsee:rJ'neo Ccr,re.0 —
Indianacoris IN 46250 _317;918-2939
City.Sna.vcf ZIP Once _
rdrylo•e NarLer
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E:SELLER(S1/GRANTOR(S): - c:,- '. r: :4:.-r, -i`,a 1_.1'.'.18- sou..;_:#Y
_Cetranha Rank Nations T"•sLCPT apv ao T.
ST Per.-Nc me.a cppear•o-¢n lo-^s`or Jf•See^5Cesv HS >555,C.:rov,da'.rztat
+Pn[e SrLn1 A.. pace rote-carol t'Lc
. =.p-'neelm„-vet
'S,).it,West;come
' 2r Ie&, a caSc- P.�ee_T�.r r«7(erUeA r Go.iPC i.r�]-V�E�
'I•I aLn'ty 11T 84115 ,•• •`
.
Under penalties of perjury,I hereby certify-that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as required by law,and is prepared in accordance with IC 6.1.1-55,"Real Property Sales Disclosure Act".
%}-1.-/l:.,,r 41) . A2 ./11 I
OAln Dood as, Doc. Control Officer '2/11I"f,If sje'
ml gone of L'lley von 4'e l✓wee/Ynr I Pitied l I tell,
.F BUYER SI/GRANTEE( _APPLICATIONFOR_PROPERTY•-TAX DEDUCTIONS. IDENTIFWA :,11/1,Vj T APP1i�®A; n
Chtirlcrir 5,P.can PI ti;.ym1m:-
_L?,:-. rmcref-en en convey:,,dean-c`1 ee/er:-n':–r,owe:non. 77..17r.t.
525 c Coluraa Sue-t
ie+.'.a.,•.was.•cm sree�; —.
d t-n, MAR S 2014
Oakland City,let 476 Q
5 .'D CONDITION - eFS NO cosDiTIQ I3$ON COUNTY AUDITOR
1. I [ 1.Will this property he the buyer's primary ❑ 3.Homestead
residence.' clothe complete address of primary
S Solar Energy Healing/CoDling System
residence,including county: 0 O
,11 Fie! nt clre,,,. S.Wind Power Device
,e;re.'f:Iv,beien I: .e, ❑ '(]� 6.Hydroelectric Power Device
Ga%Ianc City IN 47665 Gibson 7.Geothermal Energy Heatia g%Coalin 6 Device.sp:e_r rcfe ca o
9 ❑ 2.Does the huge:haze a ho-n—cad in Indiana to be u B d.Is this property a residential rental property?
vacated for this residence? if yes,provide ❑ 9 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail!(Provide coated irjo:oration
including county: - be low.Please see inscructionc;or ac:riryi-ma:ion.
Nor available in all counties.)
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