HomeMy WebLinkAboutHomestead_Wood MI I�_C CLAIM FOR HOMESTEAD PROPERTY TAX P T t
STANDARD I SUPPLEMENTAL DEDUCTION
' State FOrtn 5473(R73/12-0e) l
Prescribed by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions. JUN 6 2014
p ;"�;dc .a 9. a �""-'t�,r, CERTIFICP'.ION fATEMENT j.;Ps ail-irarar yz' �kfaiy,s. '�a
I(We) (flit gia!MMI/ J l '& f3 ' 10 Of certify that I(we) ¢ p r principal
place of residence or am(are)buying the following described real property for which a Homestead Property C�E�r Tax r$t-- e t Is•e.:ANAM*
under contract on the date this application is filed, (date of filing). I(We):
*Own KAm(are)buying under recorded contract
❑D Am (are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation
❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified personal residence trust
❑ Am (are)the shareholder, partner or member of the entity that owns the
property.
If buying on contract,Fee Simple owners name
Recorder's office where contract is recorded Record number Page
�aa�� ,:'c^�a� z5?; 7�.' P,RO�ERT;Y DESCRIPe;ION �,r.3ctn"� �`�.>?ri.<.�r""aZ.Y+t!Y`�i>ti/,+'�'{aj`?7-`-tip_
P: +- number L.-.I.esaiptionl lsth pro.' ''estion:
Al JR./� `�//E ,/ L0 &/. e ❑ Annually asked mobile home(IC 6-1.1-7)
If minion of the residential structure or the land not eel eteed ling one(1)aae - mm late- ssu nds that structure is used to produce income,desaibe the use and portion
of((((((ff(��t property utilized to produce Income.
091 -Q‘/9 ql/O-QOO 5-o/7
lax ,px. �, ?>4:c�,x=`i•- 3S
? d.,�;,,��.�:at`' �-$,"£-�,,,>�, 's,t�PROP,ERTrYgOWNEO BY CLAI[v1A�T�IN'•OTHER C_OUNTIES�`gy 3li.aM�-_.,,��v,,,.3? •-;24:1 =
County Township
I hereby certify the above statements are true,correct and complete. r I 9
Address(number and street city state,and ZIP code) /
_ • :E U /J rc-vt( S.CO /N 4/7(0 ei -
5.i mThy ASSESSOR USEtONLYY g� Tw° RUSE T L E'''ITYA-SSESS D F3TTV�. HOMESTE DiI &'�a'NON RESIDENTIAL ;, dl
tir�du`= ' 7;:. •a..aw.nxv�sra Ryr,A . r�k � - to Sts- AT 10g°/,OF.aTT�V §raVALUEi.a,.t. 1 A,. xK;�- VAL'UE ice'' _{�.''
Land not exceeding 1 (one)acre Immediately (1) _ , --_ �
surrounding residential Improvements. - " `
sw.
Other land (2) `s--,.
Total land(line 1 plus line 2) (3)
� s h-4
Dwelling (4) -� t -4 r ra .ice^
Residential Improvements or Annually r
Assessed Mobile/Manufactured Home Garage (5) ,K-- c. y_.�_.::_,. ..--x-....:
Other Improvements (6) - -.,- ...�f:;
•
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.year)
and complete.
Verifying action-Signature of Auditor F Date signed(month,day,year)
triatcatgP,tires 31dn`arejl, '.ysiffra:CrWDAR01_D_EDUCTIONTy IT WANCEittate:?.'!.r" Tie t�?m> = li§ i7M11
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 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)