HomeMy WebLinkAboutHomestead_Robbins CLAIM FOR HOMESTEAD PROPERTY TAX z,. YEAR
STANDARD / SUPPLEMENTAL DEDUCTION FORM
State Form 5473(R13/12-09) HC10
,.„ Prescribed by the Department of Local Government Finance
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INSTRUCTIONS:See reverse side for filing instructions. ?
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CERTIFICATION STATEMENT
I(We) 1 ii1.... IF 1111111Filra certify the we *.. -. . principal
place of resid- ce / -4F(are) .uying 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): JUL 18 2014
❑ Own ❑ Am(are)buying under recorded contract
❑ 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 pet $rJ i V AUDITOR
❑ Am (are)the shareholder, partner or member of the entity that owns the property.
CLAIMANT'S INFORMATION •
CONTRACT RECORDED
If buying on contract,Fee Simple owners name
Recorders office where contract is recorded Record number Page
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PROPERTY DESCRIPTION
County Township Taxing district(city,ttm o ,township)
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Parcel number Legal description , 73 A C. s the property in question:
Pr I"EN LA) I 9 . a — S ❑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)aae that immediately surrounds that structure is used to produce income,describe the use and portion
of the property utilized to produce income.
A62 - /Li- / 9- /oa _ o60. 5 y - oo7
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES -
County Township County Township J.
I hereby certify the above statements are true,correct and complete. *attire of d.ima.t :7 // . .
<Address(number and street, ' ,state,an.ZIP code) 1 I
•41,4 '_ or VI: _ `o . IL. / (/1)6
ASSESSOR USE ONLY I TRUE TAX VALUE ASSESSED VALUE I HOMESTEAD , NON-RESIDENTIAL
AT100%OFTTV VALUE VALUE
Land not exceeding 1(one)acre immediately
surrounding residential improvements. (1)
Other land (2)
Total land(line 1 plus line 2) (3)
Residential improvements or Annually, Dwelling (4)
Assessed Mobile I Manufactured Home Garage (5)
Other improvements (6) _
Total improvements(lined through line 6) (7)
Total value (line 3 plus 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)
STANDARD DEDUCTION ALLOWANCE
20 pay 20 Lesser of 60%of the assessed value of the homestead or$45,000
Notwithstanding any other provision,the sum of the deduclions 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(1/2)of the assessed value of the mobile home or manufactured home.
Signature of Auditor Date signed(month,day,year)