HomeMy WebLinkAboutHomestead_Schmitt (9) CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
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; STANDARD/SUPPLEMENTAL DEDUCTION
FORM
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�'y.�.± State Forth 5473(R13!12-09) HC10
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— Prescribed by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions.
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' '����- ry��„� RTIFICATION STATEMENTa•.ui-.�...s. „�'��Ges�i�- ._�
I(We) /. _� `� •I .i //1/ I/!� certify that e '�' • y•:1- .ndpal
place of residence or am(are)b •mg the following described real property for which a Homestead Property Tax end. . e aimed
under contract on the date this application is filed, (date of filing). I(We):
® Own ❑ Am(are)buying under recorded contract JUN 2 5 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 persona / e�-
❑ Am(are)the shareholder, partner or member of the entity that owns the property. GIBSON COUNTY • a • -
"" u is ' k tic CLAIMANT S)IN FORMAIO�3N "-.(Y^' .5" , at 'S`r1
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`,� '. yea. .-� +1�tS�„�>ti`s`�:�-^�"*"K"' CONT,RACTdRECORDED �i, �ei'>..'413.ae3 ,raY.-c�-�3»,F,'§1.:.x __ . .__.
it If buying on contract,Fee Simple owners name
Recorders office where contract is recorded Record number Page
4R ;' ni ' .?w .: • PROPERTyYLDES CRIED0NY ialtr 7ifi ' _-W { iVigl`'-5.`.T_'.'.
County Township Taxing district(city,town,township]
Parcel number Legal descripti,on S.--,,R Is the property in question:
fii_3• /p /. ❑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 surrounds that structure is used to produce income,describe the use and portion
of the property utiraed to produce Income.
a &) -ZG -/Al - /00 - 00 1. 700 - OD /
.` > .F 4,> ;9f?;p 2PROP,ERT OWNED y,'C'LA MA`_M1`T N OTHER C( IESki jiis9: Pl a .zZit;t`
County Township County Township
I hereby certify the above statements are true,correct and complete. Signature of daimam o 75
ress(number and street,city,state,and ZIP code) 7(, d o
_ t .T et/L n � es T
91 �.�,.�P.SSS SSOR USE O Y •cr.'*-., az-TR EiT ALUE t�ASSESSED,VALUE�eHOMESTEAD ^e.' .',SNON RESIDENTIAL'r. f c.
:G°}sisa._AR i,-,,.-.; ..� iFATi700°/�OF,.TTVs4FirS:�raVAL•l1Es�.' �s t`�3aa VALUE i�>'�v
Land not exceeding 1(one)acre Immediately - ry=`=_
surrounding residential Improvements. (1) "° ". "2:1-
Other land (2) - . "1.-4::
Total land(fine 1 plus line 2) (3)
Dwelling (4) _"- a; :r '; -+ . , _
Residential Improvements or Annually
Assessed Mobile I Manufactured Home >z-- - x T_._
Garage (5) f .= n
_-
:
Other Improvements (6) _tt E re 1-.
Total improvements(lined through line 6) (7)
Total value (line 3 phs 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)
y�•,,- +rtY.!'4 aarv>q }Wits ar.:74 1 e1j::::1SAND DEDUCTION7A-'� OVANCE ,.tigra alitat-1,SrV).' t}_4:102.'52
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 toe 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-hef(12)of the assessed value of the mobile home or manufactured home.
Signature of Auditor Date signed(month,day,year)