HomeMy WebLinkAboutHomestead_Knight f"F,z" CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
�� STANDARD /SUPPLEMENTAL DEDUCTION OR
-Ott-- State Form 5473(R13/12-09)
':' r Prescribed by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions.
2:.x29_ °- _tt;•4+xr, as,,;,;-rte r»'.:-r ;,+ - - CERTIF.IC�ATION TATEMENT r't:-' 'St., s^Wee et'irs'r 7 t''fr 'ie2
'' u�ta�a^S3+ss is��`Esr�l3.,� 44`<ce��u�u:�i�i��� �-•i
I(We) t irip��► inr.n. certify that I(we) ....'.,ed .' r ..r .:a
place of residence or am(are)buying the,el owing described real property for which a Homestead Property Tax Standard Deduction is hereby claimed
under ntract on the date this application is filed, (date of filing). I(We): APR 11_ 2014
own ❑ Am(am)buying under recorded contract
Et 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 re %OUNTY AUDITOR
❑ Am (are)the shareholder, partner or member of the entity that owns the property.
S' ~'- - ti%?;TW.,�3'' .�4}_-` :.iati°a'aCL I T S,INFORMA_TIOr =t" t•fa a t-- Sti..' C4?g agl.t itr—
A'....��n}rf. £wa:a�tCVc-a:,an CONTRACTfRECOROED y� .L`+-acrZ .-a_r.._�a.. - :n-v
If buying on contract.Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
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..,=r,"a?i~3$ .ice.-.s,.-x: ..x.: �a s �•¢"... PROP,ERT�Y DESC-RIP,TION,F„id�,a��.,:t�a..,wa..- Z,
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County Township Taxing district(city,town,township)
((��Parcel number �I o Legal description Is the property in question:
/14 5-If Il-004 _L l 8 C 2 I ❑Real property ❑ Annually assessed mobile home(/C 6-1.1-7)
If any portion of the residential structure or the land not exceeding one(1)acre that immediately surrounds the�structure is used to produce income,describe the use and portion
of the properly utilized to produce Income- `;�,La n •e �.C.a �► `6 S
?x•`4, 3 -tailli li aY4'Of�W/-,,Dj,Y A/-VInLrA+-1NWI(IN OTI-E R,ICOUNTIES4-Xi s yn T.-7`' r4B'i a; iLia;=;...
County Township County Township
I hereby certify the above statements am true,correct and complete. Sig : . of claimant /
.4 -I.AI - O Ai. -
•.d- (number and street,city state,and ZIP code) •
-e- • . ■ Cs 0
o { zr �" t?eicfr-t' 'r'4a;r T " 'i2 "`a`r-�',ASSESSEDxVALUEi W"HOMESTEAD {!'^ NON RESIDENTIALf'', :
'#-tee ^w,YASSESSOR USE.ONLYr �' TRUE TAX VALUE park.(-str�f
sts.- bl ._arwa.i..Nni laic � rEtATn`100%YOFiTTV,'7.,at, s�1VALUEr". :xxsh.. VALUE Ci' r_.
Land not exceeding 1(one)acre Immediately - - "x - --
surrounding residential Improvements. (1)
Other land (2) - .y r
Total land(line 1 plus line 2) (3)
Dwelling (4) a'S `.v - r
x x `x a •-
Residential Improvements or Annually
Assessed Mobile l Manufactured Home Garage (5) <_ 3 4745-3 -r. °.
Other lmProverrlents (6) A .- --:::
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.
Veifying action-Signature of Auditor Data signed(month,day,year)
Y a"Oie".-^r Uf" -r-- to xa•.-•- 8 Ogre 'a x>.�`.,.)EIa
��"'-.`,.us��'�,3��-�`'�y:?s.3':Xh�3.q,F:=,3.�.u'��t 4§�i�s-'r1fYSTANDAROI'DEDUCTIOIJ�ALLOWANCE..rSt'PA�cii'§.�*,{.. ..,a_js�,..,'..�-ts=^a^�.dez'sr'a'�s..-.-
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)o/the assessed value of the mobile home or manufactured home.
Signature of Auditor _ Date signed(month,day,year)