Homestead_Willis :x„, CLAIM FOR HOMESTEAD PROPERTY TAX IL Fill) FORM YEAR
:d?�}, STANDARD i SUPPLEMENTAL DEDUCTION Hcto
> s' State Form 5473(R13/12-09)
' k Prescribed by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions. . ] 2014 _
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s �$�` ` ''��` � ''� '-' -ERTIFICATION,TSTATEMENT ���-+.N��itfd!/Frir_7'�..:�.�:-;s�v'�Z
I(We) �/L/.alil7rffee - y n ra I ,jr�lir that I(we)occupied as my(our)principal
place of residence or am(are)buying the following described real property for which a H ((�(����1-�t ir-, Thdard Deduction is hereby claimed
und- contract on the date this application is filed, Nirrgl'r(vtre):
all ❑ Am(are)buying under recorded contract
V 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.
.rim--.e•f "�""="ykF+�s 4 SS3 1��..i7iTf ;..sea..+,.,., ; :,•?.- .l:'�,.t=ri :F h ` 4;.°-i fk..-..
7.�'fi�`y,,��.�,+��`�'3,aa_,j�`,Ti6 CLAIMANTrSjIN_F,ORMATION�lX� . . -- �ks..�.v�4.�,.�«+`w.ie..k..t���.�)
,_buvS:r.`,�.s '`.-sc'.`u`.r.-in4z-� s,;-4.'r�a'2- .• k",1 =CONTF2ACTlRECORDED�r'..,. "3 - V144-J S4?iYs1-ova:`:cF�`l.. c+F'.a.+w.s atu-t.rC+-•
If buying on contract,Fee Simple owner's name
Recorders office where contract is recorded Record number Page
h' .''l ,..-n :t a+`u'C#u4.i..xvr SAMER PERT.Y DESCRIPTIO 4Nardha« -``t ti :C " ' .tnr]'�Mari `4o" 2r` .^ia`
County Township Taxing district(�n f rp
Parcel number Legal description Is the property in question:
51 Real property ❑ Mnualty ed mobile home(IC 61.1-7)
If any portion of the residential structure or the land not exceeding one(1)we that immediately surrounds that structure is used to produce income.describe the use and portion
of the property utilized to produce Income.
Q 10-, 1r' / a" to l - cgs 7 6 fib
_*-a.+,Sffl? -fi.r M r >5° PROPERT O WNEBI T iOHR:rC OUNTIE_ ¢ ��s`i45ctteia zy : C ".f W-4
County
Township County Township
I hereby certify the above statements are true,correct and complete. Sig
nature of claimant
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Access(number and steer,city,state,and ZIP code)
338 E rn1 11 gb4 (10,r C'. n 41 t.. L.0
r� ^, 7�-IiSSES R SE`ONLza + '* ASSESSED:VALUE�: HOlv1ESTE ti .+ti, NON RESIDENTIAL : 2.h
.r.;A'ss�k 't +g�S' #TRUE TAX VALUE I a Ili ��, .srg__,
w ,ri 1SE « . ,:� ird"atiiiATRU. r i ATu700%.OFsTtT,Va ;VAL•l1E� t - �eGM� eVALUE e`
Land not exceeding 1(one)acre Immediately (1) £, ._
surrounding residential Improvements. r
Other land (2) -»' -•
Total land(line 1 plus line 2) (3)
Dwelling (4) :arf c -rr .:s. `'
Residential improvements or Annually - r.
Assessed Mobile I Manufactured Home Gage (5) - _ _ '*f — _ .
Other Improvements (6) . . ..
Total improvements(rine 1 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.
VSfying action-Signature of Auditor Date signed(month,day,year)
Tfk-r1+ i '"'" + xM i,i STAN0ARDDEDUCTirl tiL°WANCEItat. ' iItILI;(i13R_ra,WJX-s i&gill-t�4l..-.
20 pay 20 Lesser of 60%of the assessed value of the homestead or$45,000
Notwithstanding any other pmvision,the sum of the deductions provided in IC 61.1-12 to a mobile home that is $
not assessed as real properly or to a manufactured home that is not assessed as real properly may not exceed
one-hall(12)of the assessed value of the mobile home or manufactured home.
Signature of Auditor Date signed(month,day,year)