HomeMy WebLinkAboutHomestead_Walton (2) t.�.: - CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
STANDARD 13 SUPPLEMENTAL DEDUCTION HC10 Form 5473
�r Prescribed by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions.
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I(We) / i _� /L - �, certify that i e ed (. napal
place of residence or am(are)buying the following described real property for which a Homestead Property Tax S hnda) O io is tie i-I'aimed
under contract on the date this application is filed, (date of filing). I(We):
❑ Own ❑ Am(are)buying under recorded contract JUL 14 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 personal re ' ence st
❑ Am (are)the shareholder, partner or member of the entity that owns the property.
ems. a e{e+Y..w�_..c �:<.,.'c� CLAIMANTS 1 ORMATION n Y"§,..rc t..�.,.;. t: t-r„s�: `'` X ''L`.�.. =!SI
sLYa� �v`"ss .iF:s�W".'.��Fx� 'rau.�Ll t tJF,_��..� � �� __.s ,3'� �!s z'�Y �...
If buying on contract.Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
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County Township Taxing.' . (city,town,township)' ,r../y�/�1��
Parcel number Legal desaiptloA r S At�• 7Is the property in Question: x
L//i_iC/d C ' sac,) ,. ❑Real property ❑ Annually assessed mobile home(IC 6-1.1-7)
If any portion of the residential structure or the land • exceeding 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.
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� ,...",�� ,..�,.,..�'�y ?,'�.e- �;�y P,ROP,ERTrY�OWNED BYjCLAIMANTj�IN-,OTHEF_,2�•COUNTIES�i,�±zr�s,�_+fry��� ,.�..,,,;; ��"r7„_.s?
County Township County Township
I hereby certify the above statements are true,correct and complete. Signs//yyonre of claimant
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X Add and street,city state,and ZIP e)
Le 9i 3 ►r 'r' x a a
x^ +i- `b,ca fiwcit`wP <412-z".Yj.:If -z'I tree , "i ?ASSESSED VALUE(i!,'HOMESTEAD '' ^ NON RESIDENTIAL .t k
{ yASSESSOR USE ONLY Kg?"i ry,"v�ys+-TRUE;TAX V�Ak U isATotoOozOFi'TtTVte-t VALuc.-gsti >?.:ln >avAtuE 74-zcs..c5ant
Land not exceeding 1(one)acre Immediately (1) c f. `• . •.x,
surrounding residential Improvements. ,. ``
Other land (2) .. ,:..,,.. „a_.
Total land(line 1 plus line 2) (3)
Dwelling (4) •rki - x r k x. '- 24r. 'Y sF".
Residential Improvements or Annually ,,.
Assessed Mobile/Manufactured Home Garage (6) k_- cr"'U-.4;' �` ?^.3=
._
Other improvements (6) _ ....
Total improvements(line 4 through line 6) (7)
Total value (line 3 pits 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 Date signed(month,day,year)
•'b -i. r'r q. 1aj f nti rS7ANDARD DEDUCTIONIALLOWANC E' ;7 tr35I th" ' i tic
20 pay 20 Lesser of 60%of the assessed value of the homestead or$45,000
Nohethstandlg 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 toe manufactured home that is not assessed as real property may not exceed
one-half(1/2)of the assessed value of the mobile home or manufactured home.
Signature of Auditor
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Date signed(month,day,year)
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