HomeMy WebLinkAboutHomestead_Wesley t.•::., CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
STANDARD I SUPPLEMENTAL DEDUCTION HC10
tx'S •. State Form 5473(R13/12-09)
ia Prescribed by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions.
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''s.. ?g` .ri '3-'-'vin` " ,-Y '.°;"'+T'° ` - �sr irerI TIFIC ITA ON,STATEMENT � 'Mr• '"' lf' RX tom"
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I(We) � . r 2 - a certify ( Er d principal
place of residence or am(are)buying the foil. 'ng described real property for which a Homestead Property Tnris i�lf claimed
under contract on the date this application is filed, (date of filing). I(We): .1
Own ❑ Am(are)buying under recorded contract
Am (are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation JUL 9 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. / I �(
r riafllfb.
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Recorder's office where contract is recorded Record number Page
airfargffFt�i�"r'��'' . � P,ROP,ERTeY DESCRIP�ION�gy�� aC'�,u1r�s��§- 33�.s�'sstn'�.:u -�
wu'AM
Couny Township Taring district(Igh town,township)
Parcel number Legal desaiption I the prope�uees�M
Real property ❑ Annually assessed mobile home(IC 6-1.1-7)
If any property utilized to produce income.
the land not exceeding one(1)acre that immediately surrounds that structure is used to produce income,describe the use and portion
ale- 1( - Ia - aoH o0 3. 14 S- 0ag
F ruka+`s triad`rm'-. y'' (r..: .PROPERT7OWNED18Y CLA 14 711_N;O:HEFTC-g NTIES jXy 'A!'Radio F.`.<'"v_!Y..-aib'i e-
Couny Township County Township
Signatu f fiant •
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I hereby certify the above statements are true,correct and complete. x
Address(number and street,ciy,state,and ZIP e)
- /a/ At A P�,4(C 7( W)
'u a is if 0: s'%33l'" "'r-44'':CT'r 1i`"rX i°' v a TASSES "E“.f-Ariig HOMESTE45,1- ^"'mot;-NON RESIDENTIAI:Y'�t;;;
`"�?r.— ' ` SS y30R SE ONLY } v?, 1 iTRUEp VALl1E. Am.,o0%,OF.irsaitig is-vALUE'3�.' '�i��.r cf 'rsvAtuE . rs.wir
Land not exceeding 1 (one)acre immediately (1) ,.r_jr '2r r1 _-,'' .%;ry
surrounding residential improvements. . . .-
-5 a;
Other land (2) 2. . : _
Total land(line 1 plus line 2) (3)
Dwelling (4) r i;n ii :.c ,- . -..
Residential Improvements or Annually
Assessed Mobile/Manufactured Home
Garage (5)
Other improvements (6) i _ .._
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 Data signed(month,day,year)
and complete.
Verifying action-Signature of Auditor Date signed(month,day,year)
i a '-';y a' ta. ,,- STAND.4&RD10EDUCTION ALLOWANCE' s 5 •R s to e.4—` k_ . t,==G:u:A
Y
20 pay 20 Lesser of 60%of the assessed value of the homestead or$45,000
Notwithstanding any other provisi n,the sum of the deductions provided in IC 64.1-12 to a mobile home that is $
not assessed as real property or toe manufactured home that is not assessed as real property may not exceed
one-halt(1Q)of the assessed value of the mobile home ormanufacturad home.
Signature of Auditor _ Date signed(month,day,year)