HomeMy WebLinkAboutHomestead_Williamsmax"' CLAIM FOR HOMESTEAD PROPERTY TAX
_. STANDARD / SUPPLEMENTAL DEDUCTION
7r
State Form 5473 (R12/6-09)
�O Prescribed by the Department of Locel Government Finance
INSTRUCTIONS: See reverse side for filing instructions. t
FORM YEAR
HC10
If RD
•
qq""D�pp n�1
I (We) certify thateYvre' orctt&"}aj (our) principal
place of residence or am (are) buying the following de n ed real propert Tax Standard Deduction is hereby claimed
under contract on the date this application is filed, (date of filing),
❑ I (We) own ❑ Am (are) buying under recorded contract
❑ Am (are) entitfed to occupy as a tenant - 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
INFORMATION fk CLAIMANT'S
Noma of ( name)
Social Semody
Social Security number of claimant's spouse (last five digits) Driver's license I Identification / Other number Issuing State
of claimant's spouse (last five dglos)
CONTRACT ••1 r
If buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
PROPERTY DESCRIPTION
Coun
Township
Taxing dislria (city, town, t p)
num/b�¢
scription
6I
Is the property in ques'
al property Annually assessed mobie home (IC 6-1.1 -7)
If any portion of the residential struame or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce Insane, describe the use and portion
of the property utilized to produce income.
PROPERTY,OWNED BY
County Township
County
Township
I hereby certify the above statements are true, correct and complete.
re of almanl /
F�djpeq (number an `street, city, stale, and ZI e) y �G VO
�/ U'1 9 J
1 ASSESSED VALUE I HOMESTEAD NOWRESIDENTIAL
-ASSESSOR USE ONLY TRUE TAX VALUE ATlAO%OFTTV I VALUE VALUE
Land not exceeding t (one) acre Immediately r'sn's+ z, } r. ;4 +�`7 � �' •�'
surrounding residential improvements. r) : " .�- _:'a...�?e. �x.a._. .e.s,. -•.
Other land
(2)
Total land (line 1 plus line 2)
(3)..
Dwelling
(4)
sbya'i�.rJ:iFi
Residential improvements or Annually
Garage
re a
g
(5)
+`- s3'�'3z
r'A
Assessed Mobile I Manufactured Home
aLEx hR,', •Ti�Z. i`�
Other Improvements
(8)
;� :>�;:�•,a..jp.:.r's:
Total Improvements (fine 4 through line b)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is true, correct,
Signature of Assessor
Date signed (month. day, Mead
and complete.
Venlying action - Signature of Auditor
Dale signed (month, day, year)
STANDARD • r
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 rat assessed as real pmperry may not exceed
on (12) o! the a lue of the mobile fame or manufactured /erne.
Sg, f dita
Data