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Homestead_Dees CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR STANDARD/SUPPLEMENTAL DEDUCTION HC10 :.....,-, State Form 5473(R13/12-09) tit,/ Prescribed by the Department of Local Government Finance stockholder of a cooperative housing corporation GIBSON COUNTY AUDITOR ❑ 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. "�a eIVi w. to 'L,k=- - !-id �.. �ua�T r bY..-s+ss.� �.F 4. � + 'i-"y - 'F, 3'y,"e ,,,�_�"ti,,,_'�r �.� ��dcy,s�r' �' 'CLAIMIiNT'.S]INFORMATIO)N 016 - c� �kin..�i._ ,.ew'sf. '�'.r=�_4X * If buying on contract,Fee Simple owners name Recorder's office where contract is recorded �c� Record number Page -"*`21"" -- ,. , a YDESCRIPTICN 'Lea"istui4'`. +vx=W4H_Li-`~-m._`A.� re.4i i'zee'�'-5r `.'i sy -�'�'-F :,1»r^..-'��;��� *ox��i�-s PROPERTi. County Township Taxing district(city,town,township) arcel number Fw)/�) rn,�., Legal descriptio/n�/y Is the property in question: a. 14 4 f at-30 '©VV ,Se 4-001v ❑Real property ❑ Annually ec n ced mobile home(IC 6-1.1-7) ((�jII��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. 77 --r^- ' ftraaMS "r PROPERT,YOWNEDAyiCL"NM ANTI',INI THERCOUNTIES ` a<''Gr'> i!`>5 relfl- .3a .�.h.. �FFX?�rt~z�3� .n —.. .J._.._ _irs.- ik _ ue�..*:3Y. ,,_.-„-� ixY..n, County Township County Township I hereby certify the above statements are true,correct and complete. S. na1 claimant --411600/It&Zits Ad ress(number and street,city,state,and ZIP code) -- "� ' "'atsval- �sLt. a ' --,_-,� -+*-Q='it Wg— E EDWALUE. HOMESTEAD' '+Y NON'RESIDENTIALt41' `: � .. n Kl yt'ASSESSOR USE ONLY:1a � TRUE TAais. l It'AT I00%OF Town s tSVAilu Ew'l r s: y.., vAL'uEraew'�i. Land not exceeding I(one)acre immediately .r.;c ' surrounding residential Improvements. (1) . ?;;� y `." "' _ Other land (2) Total land(line I plus line 2) (3) Dwelling (4) -. h F a:-' i;- ResidentiallmprovementsorAnnually - r._. Assessed Mobile I Manufactured Home Garage (5) - ., } Ltc n �'� Other Improvements (6) _ -,. x' 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. Veifying action-Signature of Auditor Date signed(month,day,year) q * e r Till ”` 1614;ST AND a' "'- a.,+v " "r' `�w --„'a 'a'S--td..i.• -... ...x `.7'z�'�aa �a3-zi.a3d"Am.e'6s ♦ rd _ =aka- ._�� .txr.,. 71.1✓'s�,.,.�b..n.2i.._..ee.,,,. 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)of the assessed value of the mobile home or manufactured home. Signature of Auditor _ Date signed(month,day,year)