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CLAIM FOR HOMESTEAD PROPERTY TAX �Q„r/ FORM YEAR
STANDARD/SUPPLEMENTAL DEDUCTION
`or'.:i:Ce State Farm 5473(R73/12-09) HC70
Prescribed by the Department of Local Government Finance (
Ea RTIFICATION EiaNT ccI a+".g' 'risyulriti` "fit;-)
I MO 11114( 421r, certify that I 1e) t Lc1 .. i1. lilkpal
place of re idence or:m(are)buying the following described real property for which a Homestead Property Tax Standard Deduction is hereby claimed
under contract on the date this application is filed, (date of filing). I(We): MAY 1 3 2014
❑ Own ❑ Am(are)buying under recorded contract
❑ 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 res
❑ Am(are)the shareholder, partner or member of the entity that owns the property. GIBSON COUNTY AUDITOR
ila"�"�`°__�...a' Ea xr.,'2. ..a,:.w's S '. t
.A��,s zit i s,,.i •. a
Y CONTRACT RECORDED, .z±L�t
If buying on contract,Fee Simple owners name
Recorders office where contract is recorded Record number Page
'-r- -*"°'. ,;;rti*4 ThiTi.?'jf ; "'`'` r -r P.ROP,ERTOW,ESCR 11Tp aa' ftfit: .fi=t,,.t..512-s.- i. afOlit �_.i:
County Township Taxing district(city,town,township)
Parcel number Legal description {/n"..' Is the property in question:
/et,-3-`I-S -G I ❑Real property ❑ Annually assessed mobile home(IC 6-1.1-7)
If any portion of the to residential 4 l produce comer the land not ' .--.mg one(1)acre that immediately surrounds that structure is used to produce income,describe the use and portion
of the property utilized
off/ — / 3 -/3 - 90a. - 000- / p8- CC ?
".� ;"°"3.:,Fi g l x Y,t FROPERTLYzOW 673-3( MANTyIN,a-fn ERcQUNifr.— .434.. .40.1 vtgggIivs <.v., `?^
County Township County Township
I hereby certify the above statements are true,correct and complete. \ 5. re et claimant
X Address(number end street,city state,and ZIP code)
_ _ o,/ Q a OAK . 1i) et. =i1( 4-C-7Co L O
'x44 ,'ASSESSOR USE ONLYF "` '� x1 RU TAX- 4VjAL^UE'PASSES p-E VALUE;III;'�HOMESTEAD7`1 NON RESIDENTIAL'f''
A-V.„ }.' ,;m. -e vR;u. „.,; ,,4 rubs:`lkut i•.�.+.�r..v�+Ll3iATS1g0�o OF.fTaT,Va:(• ',t3VAL•(lE1/2Xa..tic i' R^ VALUE �:' �*G_.
Land not exceeding t (one)acre Immediately
surrounding residential improvements. (1)
Other land (2)
Total land(fine I plus line 2) (3)
Dwelling (4)
Residential improvements or Annually
Assessed Mobile I Manufactured Home ;531.?.?? `{- 3-
Garage (5)
Other Improvements (6)
Total improvements(line 4 through line 6) (7)
Total value (line 3 phi line 7) (6)
I hereby certify the above is true,correct, Signature of Assessor Data signed(month,day,year)
and complete.
Verifying action-Signature of Auditor Date signed(month,day,year)
•.? ate', f $ yl t".e'.; .),M C TANDARD DEDCTION.LALLt OWANCE .fret.'—'`s ''l Y,li?v Y'•!?TW-a^:::G'„a fir' `t-�1.'k."!
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 properly or toe manufactured home that is not assessed as real property may not exceed
one-hag(1/2)of the assessed value of oftthee mobil�ehome ormanufactured home.
Si 9nant ofd; 1" _ Date signed(month,day,year)