Homestead_Mcgarrah (2) t s, c CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
1 STANDARD/SUPPLEMENTAL DEDUCTION
T5' State Form 5473(R13/12-09) HC10
Prescribed by the Department of Local Government Finance �J p
INSTRUCTIONS:See reverse side for filing instructions. 0 i Z - 3O 5 -. S9 a 0
,iew"'d;+<t s ..` ,saw- -ss .r, z *f.'.. -ti°y42'�ERTIF,.I A,ONSBTATEMENT }"oxr.,. &ba t`a Lb .:r ti a�yy".�t .I+
I(We sin / • certify that I n -) .1- . -,• 44(pu•i.R• opal
place of residence or a it re)buying the following described real property for which a Homestead Property Tax Standard Deduction is hereby claimed
under contract on the d-i- this application is filed, (date of filing). I(We): APR 25 2014
❑ Own ❑ Am(are)buying under recorded contract
❑ Am(are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation tr�Os^t�'�q",��
❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified per5pp21g COUNTY r---R
❑ Am (are)the shareholder, partner or member Hof the entity that owns the property. ;5� bb�l tltlSU
S =t__ -:``_ ,,..�.•. ny. ?•�'ii E, * ;`p-`_r`L.e in aitesrafr-t .s.,....n,.TE ar2tf_ ' ciir �e.4..g?-a kav .'s-'`-` '�" ,tliii
"Y •c,c,.. �'�� ,� CLAIMANT'S,INFORNIATION
'�.i.;.- :�33��� �` .�-ry
If buying on contract,Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
:MiW.{R;.data'.�'t? `:3u.V'r;_Xtatia%,• PRO_P,ERTrYLDESCRIPTIr 1N M,�ee'inMirrgW,1'ZS'„:3!i'n.�nji�`,,;`��e:6s'"�yj�u..p.-;,
County Township Taxing 1. (dry^town,township)
Parcel number Leyai description 1/� Is the property in question:
6Y A y // / ❑Real property ❑ Annually assessed mobile home(IC E1.1-7)
If any portion of the residential structure or the land not exceeding one(1)a t immediately surrounds that structure is used to produce income,describe the use and portion
of the property utilized to produce Income.
.16-/ 2- 07 - 'fo ..1 _ooi. 957 — o ?-8
W'7teVi , "g'fi ,fr ?.14, - L�•"l�s'y��1 PROPERTYaOWNE�6Y�C';L''�AIh1AM1TZINiOTHE CI-Li a T "6.:gis:"s- "V s" `i
County Township
I hereby certify the above statements are true,correct and complete. t`j
a 2' ASSESSOR USE ON Y i � TRUE A%.VALUE f 7,ASSESSED VALUE F,n'HOMESTEADx ;ki a }NON RESIDENTIALi.wa 111
)'�.t. ice. wlgs. .__.ur `` -t_ �•mn. Tie IfliAT6100V0FaTT,Via�1"'u VAIMEi.F` �n ="si t VALUE se” ak.7:
Land not exceeding 1(one)acre Immediately '"-"
surrounding residential Improvements. (1) '_t K `
Other land (2) •- S.`` .., ...',r-,.-
Total land(line 1 plus line 2) (3)
Le LF
Residential Improvements or Annually, Dwelling (4) �- -r i . '.
Assessed Mobile(Manufactured Home r ; a Garage (5) <, _ .. x;
Other improvements (6) _. . -_i"-•.
Total improvements(line 4 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.
Verifying action-Signature of Auditor Data signed(month,day,year)
x. .y :iit„'€t,,;•>yailSi+ ail
n ! u' citSTAN,1 15 DEDUCTION ALLOWANC a ` itaii� r ray-,y. .�?4„�IX.I iilfi%:71 4 ii:.',
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.
Signagoeof fwditor Date signed(month,day,year)