HomeMy WebLinkAboutHomestead_Denbo .Z, CLAIM FOR HOMESTEAD PROPERTY TAX Foy YEAR
STANDARD/SUPPLEMENTAL DEDUCTION
State Fonn 5473(R13/12-09) HC10
Y ` Prescribed by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions.
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I(We) OM" l. (I t r( a fa 7 o a i 1 our)principal
place of residence or a 0:re)buying the following described ma .r..-rty for which a omestead Pmpe Stn rd D u do j,t reby claimed
under contract on the date this application is filed, (date of filing). I(We):
❑ Own ❑ Am(are)buying under recorded contract MAY 2 8 2014
❑ 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 perso.al residence st
1:1 Am (are)the shareholder, partner or member of the entity that owns the property. ,, , —omit
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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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:r,�,-� �y� '��;�•,}r'>�{�;�y_�PROP,ERTiYiDESCRIPTION -- tom. u�,e;;yjry ,�,;,
County Township Taring district(city,town,township)
Ylarcel-i-. 0-Q0.3 -Opt. `1a1 oa8 so in
Real property ❑ Annually assessed mobile home(IC 61.1-7)
If any portion of the residential structure or the land not exceeding one(1)acre that immediately surrounds that structure is used to produce income,describe the use and portion
of the property utilized to produce Income.
'`r Yy." .z.:+aaM. nt21ROP,ER O 1t;111 Y�CL"7NA(d�;IN ITE-1 COUNTICS.V i c .?t` SEIt"-y._ t9t 17,02. ci!;
County Township County Township
I hereby certify the above statements are true,correct and complete. Sigriayete gl,daimant C \ ^ •\�
Address(number street,city,state,and ZIP code) Cr JW1 J,[,J_T!�,yJJ/// `'L�_?l11„U,/,1.;([/�Q— E
. . ILA P . !.. 67b
'°r<w ,"°a '-'4q `..r:F z'`t z? r'`�a- ="{"`-x '- '''-"°�> r` 4'g'SESSEO VALUE� fHOMESTEAI].o e,Y.r,NINON RESIDENTI A X-jyy
.wy.�° ASSESSOR USE ONLXtpot' F ' ,gral LTi VALUE frii.ATi10of/o OF_T.T,V'ya'• VAL•UEirms-�b'i�.,. +arzx^-.SVALUE i' sr ?:Y�- "{�I�.3'w S��iLT[ �9.:YF-.•'.[.tSLhG,1 L.-r I
Land not exceeding 1(one)acre Immediately (1) '` ...
surrounding residential Improvements. -
Other land (2)
Total land(line 1 plus line 2) (3)
Dwelling (4) - -- ` 't
Residential Improvements or Annually
Assessed Mobile l Manufactured Home Garage a " x - ' i S : M1';
T5
(5) .> +
Other improvements (6) _ t
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,Yid
and complete.
Verifying action-Signature of Auditor Date signed(month,day,year)
a„h `?3^ """ ""'iu 'v-St;- STlWD'ARD DEDUCTION'ALLOWANCE>t IA:k ,t>. `"�` j r, , Era t`..". 1u-,02
tri�i"LSS'6ff�it='-"�`a�E4t-'g' `ii aw�'a34t� .. ...T•_� . � .�.. rta� a.�_°°.bY4'SS�•.�,;{. S�,.r,
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 mat 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.
Signature of Auditor
Date signed(month,day,year)