Homestead_Spindler (28) :_;s: CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
Aj, STANDARD/SUPPLEMENTAL DEDUCTION Hc�D
V'.:• State Form 5473(R13/12-09)
S,,
�'"- Prescribed by the Department of Local Government Finance 'rig-Q O
INSTRUCTIONS:See reverse side for filing instructions. Z { 7 I - 7
4 tv F1u�rs,W.Z�W^° "y' �'rt't1"-' *` k�°S+ CERTIFICATION STAT,�MENT„ :•r acaTVelaziLl :
I(We) I /II �II�L4!i./� 7.neL /.r_.�L. / .l_�_._" �i certify that b -)$t .ied a-i (oil :pal
place of/esidence or am(are)buying the following described real property I which a Homestead Property Tax S-1-.a as.1.. :. ---'. :aimed
under contract on the date this application is filed, (date of filing). I(We):
❑ Own ❑ Am(are)buying under recorded contract MAR 2 4 2014
❑ Am(are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation
❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified personal glGcP r L
❑ Am (are)the shareholder, partner or member of the entity that owns the property. GIBSON COUNTY AUDITOR
�r a^t !i it°5 i- i a- +cc - x-x-� -r tt �;#i '"s #.1aec 'iz,.f i-' iii
?yc�.�3F��r� ,,�" +E=;j».i��"yam'-r� CLAIMANTE$�INF,ORMATION' � -Y`'�,r-.4,-s>--.-'w'��` ..�•.�.e�1 :•.�"Six
'.
If buying on contract,Fee Simple owners name
Recorders office where contract is recorded Record number Page
?• ilYST P1.,� .. v /v"ggs3' -.e,f� _ -zrcF. ,.�.`.` .m +.-sr •�,;4+-d. _-•.4-35`e. i° '�— 4-r r .
�.,- s�� �- ie.,�.(L,� s.,rsc, P,ROP,ERTpY DESCRIPTIONq�k��'y, :J i.o.a-,��$rsc3 -�`_-�-1?�.2�i"r'iv-
County, Township Taxing district(city town,township)
Parcel number Legal description ♦ Is the property in question:
Al2L���,./�, , ra,Z, p ❑Real property ❑ Annually assessed mobile home(IC 6-t 1-7)
If any portion of the residential structure or ,thee land not exxc—e`eB7in`g'one(1)acre that immediately surrounds that stricture is used to produce income,describe the use and portion
of the property utilized to produce Income.
a(o ' 2, 3 - tie, - 20 a - 00A . 2 G8- oaY
o ;�-
y gizisD ROPERTewi oxic L•AM47,97T_COUNTIS -° g< y asv 2-akc
Cunt Township County Township
I hereby certify the above statements are true,correct and complete. v Signature i atmant
•.s ress(number and street,city state,a7tl ZIP code) /\ r./
l06s5 s_ akr;d Es e- Js- (11 z1i Vi‘S9
. i saes. u" .;7i:eek; .. .wwf )}=`2' v* `x' b"Asst a ASSESSED VALUE'l HOMESTessi i c: NON aRESIDENTIAIr '"'
t'if 'pk..w SOR USE.ON iyt,. '-.^v VTRWUE-TASVALUE AT5100%IOF T,T.Vc�:r `VALUEi lit Stn 7 s''
e ,.�w..:a.�:.... .c:..,.. . - r. � .x<VALUE �.3:er ,3• _.
Land not exceeding 1 (one)acre Immediately (1) ' ' ` -
surrounding residential Improvements.Other land (2) _Total land(line 1 plus line 2) (3)
Dwelling (4) ' '''1.4..f ••- i r 4,,z:ti
Residential Improvements or
Annually
Assessed Mobile/Manufactured Home Garage s.._ `#
(5) ., ,r ' yrv_
s is .
Other Improvements (6) - ...7`-';
Total improvements(line 4 through line 6) (7)
Total value (line 3 pins 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)
.._igWri"IIV. -+lotto -v g ?<G7u L STANDARD DEDUCTION�A LL•OWANCE 7•"t "' +'%i a-' 7Afi. *"' a�+j' ,�'rg Yigg 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(12)of the assessed value of the mobile home or manufactured home.
Signature of ditor Date signed(month,day.year)
s