Homestead_Michel (11) mss. CLAIM FOR HOMESTEAD PROPERTY TAX FORM
YEAR
e 7;, STANDARD/ SUPPLEMENTAL DEDUCTION OR
efiai. State Form 5473(R13/12-09) HOW
zatr Prescribed by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions.
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;, �r ,,�n��1�,`�'��.j� I. C_ FfTI_F.ICATIONrSTATEMENT.-- y�rcL��.Eri33 Sa�n ;�3Y14��`L.r?1 '�r 3. z..-+��'
I(We) )IIUVJMMf'JUI/JI/& ceri l , t kw , rim)principal
place of residence • -m(are)buying the following described real property for which a Homestead Property ax Standard Deduction is hereby claimed
under contract on the date this application is filed, (date of filing). I(We): MAY 1 4 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 pers t
❑ Am(are)the shareholder, partner or member of the entity that owns the property. GIBSON COUNTY AUDITOR
+ .} .);-, ` x `�y�.'�-' - C�^L�A1141ANT'SnNFORMATI ONT�;JI�.•s,�s.JSatcyi-S�rx., + ad=f'Farvi.:1=.tt='F2
,.cr�Xa��'.r.-�f.A.3&.s_t1a�'��.��•�'
If buying on contract,Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
_ s 5 c.14 a.?"Y,9.
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��""�-..�. �:�..:*�5�:�`,'''r .„ f iza£ESa.._a.. PROPER7kYjjDESC-RIPTION,�.��*:: a.Rtx:Lf .d.a�._��r-i£:s :>k `xV;r.er .S
County 0 �.,�' Township Taxing district • town, f�
J
red number Legal description Is the property in question:
, 1,- 19-13-1 DO OC) .3m a-Z)aS IV I Real property ❑ Annually assessed mobile home(IC 6-1.1-7)
If any portion of the residential structure or the land not exceeding one(1)acre that immediately surtoun0a that structure is used to produce income,describe the use and portion
of the property utilized to produce Income.
'..flei t i. t i I PRPERT t115«N7D BY CLA..A7TINiO THERTO L NTIES�-aR iSi?t;A , ` .a-- u
County Township County Township
I hereby certify the above statements are hue,correct and complete. Signature of claimant ` n
Address(number and steel city,s to,11and ZIP code) / /,p /
six .rF ! riAr a',¢r'G .�-itt tftss`x`' ,74—" i :xad�T –17. g TSSESSED VALUE ziwoMESTEA i NON RESIDENTIALt,a}:-':.
a i Yet0...WOR3l1SE.ONLYfi *IA- WS: .2illALUE e lit' R= . -.,,aVALUE"c >
„v,�.n,, �,�,. ^�1i�`'v�xue�r�:r:b.ae AT'a�00;lo.OFzTT.Vri h�'ch``s�VAL•UEi +'�e'�YY `�`a?¢44f'
Land not exceeding 1(one)acre Immediately surrounding residential improvements. (1)
}
Other land (2) ' 5_'
Total land(line f plus line 2) (3)
Dwelling (4) - .r 6 s4 r u,o .<
Residential improvements or Annually
Assessed Mobile I Manufactured Home <• -*.'1:-.4-C.-;;-!,-,- ;.1-,,.:.-1-.'-+ 2Garage (5) -._ :
Other improvements (6) :._... . .
Total improvements(line 4 through line 6) (7)
Total value (line 3 Os line 7) (8)
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)
?1t.:. ise .;54r� J�y�` -3ga}laK TANOP.RDIDEDUC11014MLLOWANCE-raYA;'. r X1g;ir< 5a%1:',^AOL
20_pay 20 Lesser of 60%of the assessed value of the homestead or$45,000
Notithstardhg any other provision,the sum of the deductions provided in IC 6-1.1-12 to a mobile home that is $
not sled as real property or toe manufactured home that is not assessed as real properly may not exceed
(1,2)of the assessed value he mobile home or manufactured home.
Sgtatu f l_r l . ) _,l l ,l Date signed(>Dendr.Meal Li