HomeMy WebLinkAboutHomestead_Hicks (6) °'° CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
d__ 3 STANDARD/ SUPPLEMENTAL DEDUCTION FORM
State Form 5473(R13/12-09) HC10
� 1 Prescribed by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions.
•
_ rt S- o -// ilk° CERTIFICATION STATEMENT _ -
I(We) �!te --� �7SS WII , certify that I(we)occu.°_•as I o 4 . ;cipal
place of r, - or am(are)buying the following described real property for which a Homestead Property Tax Standafepduction is - -J. timed
(,uunnder d on the date this application is filed, (date of(fling). I(We): CI 29
K I Own ❑ Am(are)buying under recorded contract L!
rL�-J Am (are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation O)B°O ''
❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified personal -'.:r Win°
❑ Am (are) the shareholder, partner or member of the entity that owns the property. YA(y
� �ITs _
t _ v T- - `-Y CLAIMANTSINFORMATION-� -: .' yl�. '��,a - • s ` l
:
.. - _s°� � _ ._ s.- -. „:_
If buying on contract.Fee Simple owners name
Recorders office where contract is recorded Record number Page
F... -� � - -- . . x,. - P.ROPERTY;DECRIPTION -_' ....71,7_ --f.'k^'.��'ta". 7 -. . . . �_
Cou / Township lid,'ct(city,town,township)
I iCY0 rt-) �./&i'X� C�
Parcel number Legal ption I Is the perty in question:
�� / /Lt'/60 d g �I]v-l1 Real property ❑ Annually assessed mobile home(IC 6-1,1-7)
If any portion of the residential structure or the land not exc eding lone(1)acre that imm tey surrou s that structure is used to produce income,describe the use and portion
of the property utilized to produce income.
a£-43-/7 tf03- WO. 000- 00Z,--
_ ,-_ - � ,.a,;PROPERTY OWNED;BY CLAIMANT INcOTHERCOUNTIES :,an _ - __.>$'r:_. . . .. ..::
County 1 Township County Township
I hereby certify the above statements are true,correct and complete. Signature of G
• nt x
Addr-ss(number and street,city,state,and ZIP code) {�
17" are
} ; /f 'ASSESSED VALUE HOMESTEAD NON-RESIDENTIAL ASSESSOR_USE ONLY_ _. u ITRUE ' VALUE I ATs100%OE.�TTVv� -I^ VALUE '�.fa
Land not exceeding 1(one)acre immediately
surrounding residential improvements. (1)
Other land (2)
Total land(line 1 plus line 2) (3)
Dwelling (4)
Residential improvements or Annually
Assessed Mobile I Manufactured Home Garage (5)
Other improvements (6)
Total improvements(line 0 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)
- -:;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 deductions provided in IC 6-1.1-12 to a mobile home that is $
not assessed as real properly 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)