HomeMy WebLinkAboutHomestead_Stephenson ,c.w.,; CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
STANDARD/SUPPLEMENTAL DEDUCTION
'w-; HC10
j' State Form 5473(R13112-09)
Presaibed by the Department of Local Government Finance 1-
INSTRUCTIONS:See reverse side for filing instructions.
'gla'`i' •l eft 1:e CERTIF.IC�grb rtilENTptp.` z' ' " 'i"�` i• :ti lgi�`l'IF siai•
I(We) LW ! l' / .off—Q-/ 1r ' ' certify that I(we)occupied as my(our)principal
place of residence or am(are)b/ng the following descri•;• real property for which a Homestead Property Tax Standard Dedu.;•/ is here:( el.i• S
under contract on the date this -•plication is filed, (date of filing). I(We): GIB$ON v��11.
_J4��','�'���'' ❑ Am(are)buying under recorded contract COUNTY AUDI TO'
U Am (are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation
❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified personal residence trust
❑ Am (are)the shareholder, partner or member of the entity that owns the property.
is�- =5:— .+..", -t h.' I .rte- -.�,1711:...;.F fir;; a.r<�::=,`,j, -§ S``rt `r ;. ;:ti 3: "t
.� ,.5�� rti.$i�.a,-+th.,,�lt.-n,i '� CLAIMP:NT�S INf,ORMATION�z`--a-' ftkF,�' ,e$�ww� 5,...._. -.t:r'...:r-:.-.—.�.•?,er1'+
If buying on contract,Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
� .4 ,C i ^ tifZ iW t S"y" s, ? R ETDESCRIPOPr ami :J" ?- aa1-a.31' (CIA tZ*�
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EV/ Township • . .
Parcel number Legal d /�en. /f ///� Is the property in question
//A////Jiriy c4 ❑Real property ❑ Annually assessed mobile home(IC 6-1.1-7)
If any portion of the residential structure or the land not exceeding one(I))acre thaat4ied'iateteiy surrounds that structure is used to produce income,describe the use and portion
of the property utilized to produce Income.
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a i < s. ` 1 34P ROPERTYOWi-oim=CLtAlv AN(ILHI2COU NTIE.ek s cki R:.ViiFe.it :: ^
County Township
I hereby certify the above statements are true,correct and complete.
l _.,.,mss.
Address(number and street,city,state,and ZIP code _
�" Ai ° in x _ ! 7 -t' t
ac-!° e' 'Art k«. 5 ri. " 'i irrt t{f SIT.`s"`+AvL w " ASSESSED VAL IFIRROMESTEADfi i NON RESIDENTIAL)`? -"
{• t.:4 06 ASSESSOR U§kCW( .4:ntr I TRUEtTAX"yAajoU AT{10O OF TTV:3f .'4IALUEWA.t..G$2u's: 444.-2 VALUE L"t-.e.-8 1.
xt:�LAt'YG.,.._✓s r...rare.W..ay.a....�:
Land not exceeding 1 (one)acre Immediately (1)
surrounding residential l Improvements. _
)
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Other land (2) .- - - -_ -
Total land(line 1 plus line 2) (3)
Dwelling (4) s a +14`pens ;rr'm m-3.-.
Residential Improvements or Annually
Assessed Mobile I Manufactured Home Garage (5) ?1*..;- `1 X, :f ty„, ^(124,7.
N ,Mitt
Other Improvements (6) 4 '
Total improvements(line 4 through line 6) (7)
Total value (line 3 plus One 7) (8)
Signature of Assessor Date signed(month,day,year)
I hereby certify the above is true,correct,
and complete.
Verifying action-Signature of Auditor Date signed(month,day,year)
r=ti�°vJ�'•1 2`•'- d" 'r'"� i∎O r STANDARDrDEDUC'fiON ALLOWANCE�``�' .tk=Tt wf '-T if,i:: �.P•.`�4_°-L�A:',g'zi_ 10,
-�3�e' "1�;�?� �isi��?--fry... "F-'s_sa�4?S _..-... d.... .. (�-__ 22.....- ter'
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 toe mobile home that is $
not assessed as real property or to a manufactured home that is not assessed as real properly 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)