HomeMy WebLinkAboutHomestead_Smith (20) t:- CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
FORM
HC10
STANDARD/SUPPLEMENTAL DEDUCTION
r. State Form 5473(R13/12-09)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions. ,f�q� �� -5 t M.
easitt i� i 'i X' s:. d3T� r 1 - Y lg f� m i&-&-. fGty .-h_ -y'�^�i Y: :rs
E'".,, '� `�� CERL`.ICATION STAT_EMENT�1 3'rYr� .--°-
I(We) w/1rr�IAr n certify that I(w 3 ••• '....•!as .y oyr) n..•1
place of residence or am(am)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): ff JUN 18 2014
❑ Am(are)buying under recorded contract 270__I/2- Ua` 9a
Am gavn(are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation �/n/[,
❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified personal resitl e'5vGs� 11Z '
❑ Am (are)the shareholder, partner or member of the entity that owns the property. GIBSON COUNTY AUDITOR
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. EGORDEDnir4`kiS"je . I �vr::IiirAsY.4'fl'-t`'_ +,• -- -'
If buying on contract,Fee Simple owners name
Recorders office where contract is recorded Record number Page
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���*�¢�4:�:.. �-n..s��s"�3`FP,,' �7.�Y�.ai14 rF � P,ROPERTSYIDESCRIP.TION�t'��.�v�r".�.:`t.Lv:d"-z. +s.,:-�+,.. �4�.se�v.,ir - _'�,:i
fin, / . Township Ta town,�ip)
/7/44
Parcel number Legal description I the Pro rty uestron:��
x''^—�j'-yeah property LLd Annually assessed mobile home(IC 6-1.1-7)ar-
If any portion of the residential structure or the land not exceeding one(1)acre that immediately surrounds lnat structure is used to produce income,describe the use and portion
of the property utilized to produce Income.
&go-//77 00-oco.of 0-5(- o0.1i
ti ? r`',a.,y--,' ?cPROPER OWNED BY1CLAIMAt;T N10THER'-COUNTIESIS-I`iN07 - .. ,'nom, rs�,_x"_?,`JAS'
County Township County Township
I hereby certify the above statements are true,correct and complete. Signature of claimant t „
• tlress(number and street state,and ZIP code)
, < . s. c as i N 1(D 0
., 3ir "'^*"t.'�2�•""°P -r a le �''` '-P" ` . SESSED VALUE turHOMESTEADg '�' "?}AON RESIDENTIALe" -SSf
t'�_r�:- s>�+ASSESSOR USE ONLY t TRUE TAXj,VALUE .%-.z: .'reVALUE t ar<
i - .i te. . n„», . .paw - r P.Ts�100faiOFtT,T,Va;(i:� aiVALUEt��sYtr
Land not exceeding 1(one)acre Immediately .t r _
surrounding residential Improvements.
Other land (2) •'y:f->::
Total land(line 1 plus line 2) (3)
Dwelling (4) ;--.;r..'-.3.17-.ti3 t-a.= - yr `!}:
Residential Improvements or Annually - a.
Assessed Mobile I Manufactured Home Garage (5)
Other Improvements (6) s �-''r,.
Total improvements(line 4 through line 6) (7)
Total value (line 3 plus line 7) (6)
I hereby certify the above is true,correct, Signature of Assessor Date signed(month,day..year)
and complete.
Verifying action-Signature of Auditor Date signed(month,day,year)
^4� ="r"` t. .;ate -` ;, r ltiSTANDARD DEDUCTP7t"ELLOWANCUIVILe ttn=` v rra>F €k'c .-eS-1!:
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 fame that is $
not assessed as real property or to a manufactured home that is not assessed as real property may not exceed
one-half(1/2)of the assessed value of the noble home or manufactured home.
Signature of Auditor Date signed(month,day,year)