HomeMy WebLinkAboutHomestead_Rogers +; CLAIM FOR HOMESTEAD PROPERTY TAX YEAR<A: STANDARD/SUPPLEMENTAL DEDUCTION FORM /
=ez_ if"'‘ State Form 5473(R13/12-09) HC70 iY45
Prescribed by the Department of Local Government Finance
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i(We) l,( L/ f fl %m 4— , - certi i ur)principal
place of residence or am(are)buying the following des ' real property for which a Homestead Property I to daDed n y y by claimed
under contract on the date this application is filed, (date of filing). I(We): "' 1 1 �'
EP Own ❑ Am(are)buying under recorded contract MAY 0 2 2014
El 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. IPA -_A-.i
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YL�-��?',t;7ax'�.- � t._�3'.-x �.'s��'a $3�xkT1Y8�..��x,?`f..
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If buying on contract,Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
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,�-` ?ate';ico :,1,.�-�T7.a's.��'�'_�x.,..m�v�' -.Y:_� :::±�... P,ROPRTtYyDESCRIP,TIO ��{.-r^`s�,iz<. 2-�.�3��`�-ii�.a.,.-. +,- :. -2�
county Township Taxing district ,twnship),
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Parcel number Legal description Is the property in question:
roperty ❑ ally assessed mobile home(IC 51.1-7)
If any portion of the residential structure or the land not exceeding one(1)acre that immediately surrouncture is used to produce income,describe the use and portion
of the property utilized to produce Income.
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"� PROPERT,Y'OWNE�BY CLAIMAhTINOTHERtCOUNTIESri `�'�.'� rr
County Township County Township
OF
I hereby certify the above statements are true,correct and complete. g re aunant
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Ad (number a .street cry,state and ZIP G r O 4 / /4 /J cr /( , 7 7a/ �)
+tri,92. l, x$� ' r..ie..s1;tX.c y itTa '*FsS:"CtrTs6-z', i_.-� ” rr SNON RESIDENTIALk''`.ut;_
z ASSESSOR USE.ONLY�i£iro' <TRUEtT...k. UE(-I ASSESSED VALUE' HOMESTEAD-, -w 'VALUE ajai
new , ju av_i_g..0-syez e, as} ffiATz100°a OFdT.TVa� SVALUEk° �. MS
Land not exceeding 1 (one)acre immediately = -r3 �z
surrounding residential Improvements. (1)
Other land (2) - >+? a5U
Total land(line 1 plus line 2) (3)
Dwelling (4) r r ' :r s? + xrJ- - E
ue
Residential Improvements or Annually ,�. x - r
Assessed Mobile I Manufactured Home Garage (5) a sly mow- - j" ' z>.,
Other Improvements (6) �-
Total improvements(line 4 through line 6) (7)
Total value (line 3 pits line 7) (8)
Signature of Assessor Data signed(month,day,year)
I hereby certify the above is true,correct,
and complete.
Verifying action-Signature of Auditor Date signed(month,day,year)
- fig - -1 4 ., -atPa.Y tilj'I RD,_DEDUCTIONTALLOWANCE' rt ;k ,trS t ,',
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 toe manufactured home that is not assessed as real property may not exceed
one-half(1/i)of the assessed value of the mobile home or manufactured home.
Signature of Auditor Date signed(month,day,year)