HomeMy WebLinkAboutHomestead_Birchler f. _-sz CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
STANDARD/SUPPLEMENTAL DEDUCTION
State Form 5473(R13/12-09) HC1 0 '
"' Prescribed by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions.
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��.:a,T•', - `{ �.,.�w� t•.:v��„ 5rr�', CERT,IF,ICATION;STATEMENT yr3w. �2.__ _- f% d�T£td.�,yataI(We) L�'I�IV'.._rl� �- certify that l(w;) •• as o r). '.-I
place of res' ence or am(are)buying the following described real property for which a Homestead Property Tax Standard Deduction is 'ereby or:imed
under ct on the date this application is filed, (date of Wing). I(We): JUL 3 1 2014
❑ 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 personal resin ,,7 g' ( --
❑ Am (are)the shareholder, partner or member of the entity that owns the property. GIBSON COUNTY AUDITOR
'afat T+'s StP'!' afei'`. -t=s`Yr CL—AMANTrSi1NfORMATIONlS - Ehkr:f`.+'SeCsig 9r .._;..y�1T:1}
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If buying on contract,Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
nt -r!'' r ?w- .h ,.r PROPERTrYJDESERIP7!-M igiz `,.i,ISZZ:al'e 3T:4.5 talAk�. ll
County der Township Taxing district(city,town,township)ircel
n/ )3-q iCQ "'co • '•.Id jigp� la�Derr in question:ion:
r (<W1J"4. 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 utilized to produce Income.
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County Township County Township Townshhip
I hereby certify the above statements are true,correct and complete. J�g / re f claimant ant A �j •
Address(number and street,city.state,and ZIP code) ,l'/```/fl ` `�y�• a -^,tea^ ►`.\Ir,",^�'J'��V`�1"._-
' T' ASS SSOR USE;'ONLYt�'" § a TRUE T ERI,1ASSESSED�`VALUE'jz-16R§TEAD "ANON RESIOENTIA$Lt`y _�+5.
'a ic gt.kiyaAss,Eu,a oR.u...a,ar t'!"',�3�'.-1f f,.::' l A aATE100°/}Of TAT,Vtilw&daVAIMJCi7'•7s.I i fl1''- VALUE c. 7.1 :?;i
Land not exceeding 1(one)acre Immediately (1)
surrounding residential Improvements. - •- °-Other land (2) - - i,
Total land(line 1 plus line 2) (3)
Residential Improvements or Annually Dwelling (4) `r
Assessed Mobile I Manufactured Home ":(5) ;'_
Other Improvements (6)
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 Date signed(month,day year)
and complete.
Verifying action-Signature of Auditor
. Date signed(month,day,year)
°1 _ ` a „ w ?, rIeI,A1 DUCTION'ALLWANIgn _ t r `f''1 I
ttri
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(1/2)0/the assessed value of the mobile home or manufactured home.
Signature of Auditor Date signed(month,day.year)