HomeMy WebLinkAboutHomestead_Curl (2) a .. CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR I
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STANDARD/ SUPPLEMENTAL DEDUCTION HC l0
State Form 5473(R13/12-09)
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Prescribed by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions 311-/ H 5 9- 3 ) y
Y sates cc. r3 #d°l` -Asst" +?Ltc' 'd it El4 "..^catit^d. _r
ux ,'tl ."vnr'< :*1 + ' � ., *s�,� .c CERTIF.ICATION,STATEMENT' { -.��
I(We) I/� � `- / /L,_-4�� ' certify that I(we occupy•'as my-•r •`�l .
place of res'•-nce or am(are)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 fling). I(We): JUN` 2 5 2014
❑ Own ❑ Am(are)buying under recorded contract
❑ Am(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 persorf$1as03gcg )4 TY AUDITOR
❑ Am(are)the shareholder, partner or member of the entity that owns the property.
t. r. s riliMCL•AIMANTiS INFORMATION +e'Wl ,lass'-' isGiwa"uLr'°u .E,.+"•air
,_., �y�ra•�,'+„��;,���,os'�- .�, .,,�ys "�i '�-'.�C ONTRACT RECORDED�s�t "$.rg-� y2�' .` '2��•-scut .-E._^'s '-
If buying on contract,Fee Simple owners name
Recorders office where contract is recorded Record number Page
`�°` ah s 3- ^F--^' F;Yi'-,cz it r - PROP•ERT;Y DESCRIPTION^::: �"� 3,:aM':;'X•i ith c + ,,�-TC`Y:_:
s.�+:._ :�4* i?;a4v�_�,. .r '�r, - �� v ,w�_t•a..�3=.«Fiata- _..� � ....-�- �,,-.
County Township Taxing din yr (,ciittyi town,toownnshiip')�y7`�'�`� /J
Parcel number Legal description I the property in question: /
/q 9 9 6 X 90 I ❑Real property ❑ Annually assessed mobile home(/C 6-f.1-7)
If any portion of the residential structure or the landing 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.
2,6 - /l - t o - 100 - 70 (1 - 3 G 3 .0 GO
ALL --74" `3}„rfA.k f e 12-PROPEii-yOWNED�B CLzP1MA�TAINj THERKCOUNTIEs-Abr9 ,i+.x f""?; "g =givirt '-• 't
County Township )County Township
/ I hereby certify the above statements are true,correct and complete. �/ Signatu nt �
/ Address(number end street city stat9,and ZI code) /� /� /�/
e.O W_ _L �. ro (o rr/NC' air/ /n .176 r
ff 4 -°'7s- to 1TLk .L r+3 *a1 y,, ^. SSESSED VALUE'14HOMESTEAD_e r 'i(c° NON RESiDENTIALI` 7..ti
. �rA ASSESSOR llSUNLYA - z �+TRUE TAX VALItt r'- v �r ( k r g
��,-; ,,, x„��s,•, -�;'1,,,. i �r��ATa100°/n OF3T.T,V�.3�#s.iVAL'l1E'KT';'+=�'.urrx:�� VALUE aY"?PJ,Land not exceeding 1(one)acre immediately :::-.j.''tm ? rr'' ;
1
( )
surrounding residential Improvements.Other land (2)
Total land(line 1 plus line 2) (3)
-' T
Dwelling (4) ' ``_�- i ,T:5..
Residential improvements or Annually rte..
Assessed Mobile I Manufactured Home Garage (5) ". ? }`s - _ -^2t:
Other Improvements (6)
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 Data signed(month,day,year)
and complete.
Verifying action-Signature of Auditor Date signed(month,day,year)
1 ,.C4_':' >-�.4tgag ar`i .:� _"u 'fS S�ANDAR010EDUCTI—ON1ALLOWANCE`-'xi,', '7r553s? a.S•zW.^:h_ '`x i ' - a . k.:3
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 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.
Signs re of u t /
Date signed(month,day,year)