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HomeMy WebLinkAboutHomestead_Conner`fir CLAIM FOR HOMESTEAD PROPERTY TAX YEAR „^.-e: FORM �-` STANDARD/SUPPLEMENTAL DEDUCTION ;tip! 1,_ State Form 5473(R13/12-09) HC10 �' Prescribed by the Department of Local Government Finance 0 INSTRUCTIONS:See reverse side for filing instructions. 2/_ a i5 0 3 7. v '"s is a'a�i:-. ' • rtl - ._ :. s '3.?..is t fy- .a'{x ��• ,��,,�•,m �.,.. �.,d`r ``-- CERTIFICATIONSTATEMENTg�;��y�y�'1ad���;14'�£*��• I(We) _.hna Li . ce that 1 we occu s is our)principal place of reside..- or am(are)buying the following described real property for which a Homestead Property to a Ded n i ',by claimed under contract on the date this application is filed, (date of filing). I(We): b • ❑ Am(are)buying under recorded contract IN Am(are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation JUN 2 2014 ❑ 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. L • i sirDrr• T-nPJ..0 ,F• .tn Lg Y'T .._!" :Sit Rt Sc f,Fes. ] t �cffit V w ?1-.:.-S ,z"�'>�`� rvt.. ^B.. ��et ;�,�.r�14,y��a�•,.�+�axc, CLAIMANT IIN FORMATION;d��*Yt,nT'c71st.�`cS,Rn*YG�®`?STfr1•.�,tix,,.noj b:...n-f,at .r.__�i..-,' If buying on contract,Fee Simple owners name Recorders office where contract is recorded Record number Page 124 -?.aria.'•. )-,=^�.:'`,�,wk. PROPERTY DESCRIPTIONy C _yi s W,a,,F.Vi:iValWAK.fi ll:-2".-:a�-ei`. County Township Taxing•'", . (1 con,townsha) j2LM 102(. Parcel number �,(/��� /,n/ ',., L tl tion Is tthhhee]7Tproperty in question: l YV/"bow O ! —dui 000, 33 -0,9R l property ❑ Annually assessed mobile home(IC 6-1.1-7) If any portion of the residential structure or the land exceeding one(1)acrk iatey su es that structure is used to produce income,e,d © useand 6,-„do/ portion of me property uN¢ed togloduce Income. ////[, �` � 4072Z 1 odic IL r-„ �°-s,� _ ,:ksrtPROPERT,y4OWNE oxicEAIMANT igt THERyCOUNTIES swil,'?--.�.. ; .- - cY vyi'.A County Township County Township I hereby certify the above statements are true,correct and complete. -r'a' - • da' nt 011/W4 Address(number and t, state,and ZIP code) f1 ■ 17 I'' o • •A own St I AC ' IV L` C 6 -, ,� �j w -yam-$7 rc "w?t°?�kTy4R`-se^'%"�"'b- -- Emcg.,„T,i Yfrr-w,'%"p°dES D VALUE( HOMESTEAD-`X fi` 'NON RESIDENTIAL?`t y� .c. 'r'.tc" ASSESSOR:USE ON trayag_-...- TRUE?,T - •INNATi,100f7A0F.�TT,V F IVALUEa u� .` t�'.5'^'^-cVALU 7,Valt'.: Land not exceeding 1(one)acre immediately (1) +v' r' rv' - - surrounding residential improvements. Other land (2) - " > Total land(fine 1 plus line 2) (3) Dwelling (4) a >xr-t.- Residential Improvements or Annually - _ fi, Assessed Mobile/Manufactured Home Garage (5) }: Other improvements (6) ' Total improvements(line 4 through line 6) (7) Total value (line 3 pits fine 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 Dam signed(month,day,year) -ca; taC .,,i�°`v, �� �•�:��,.y.�rSTAN_•,DARD�DEDUCTION'ALLOWANCEnt-, natt �� 'c aare_ 20 pay 20 Lesser of 60%of the assessed value of the homestead or$45,000 Notwithstanding any other pm vision.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-haf(12)of the assessed value of the mobile home or manufactured home. Signature of Auditor Date signed(month,day,year)