HomeMy WebLinkAboutHomestead_Thorbecke 1
Z CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
• STANDARD /SUPPLEMENTAL DEDUCTION FORM
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State Forth 5473(Rt3/12-09)
� ' Prescribed by the Department of Local Government Finance
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INSTRUCTIONS:See reverse side for filing instructions. r 1.
,✓ �l - - .�. �C. CERTIFICATON SL>TEMENT c '
I(We) IIIIIR tent. allnele certify that(web ciaCUpini4 my(our)principal
place of residence or am tie)buying 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): `iJ�+
❑ Own ❑ Am(are)buying under recorded contract GIBBON/COUNTY AUDITOR
❑ 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 residence trust .
❑ Am (are)the shareholder, partner or member of the entity that owns the property.
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,: - - . - .., -x- �.: .CONTRACT RECORDED--r. -- - `51'". : , .. .
If buying on contract,Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
County .' Township Taxing district(city,town,township)
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P�j rcel number) -dog- ^�? Legal description Is the property in question:
C(co—13 -I 9 000 033 D[,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 surroufilds tthat structure is used to produce income,describe the use and portion
of the property utilized to produce income.
- „ , - _ _r,s_ y. -.. _lift-PROPERTY OWNED BYCLAIMANT IOTHTFLCOUNTIESr=a r,- l7 _ :
County Township I County Township
I hereby certify the above statements are true,correct and complete.
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•'dress(number ands I,city,state,and ZIP code) ,, /
• /°o Sx /6 -2 code) //t/ C7.767 V9 /.1-760-or 7g
-""`� '-.=ys.'s `•+ - "= 'A'SSESSEDVALUE HOMESTEAD - - NON-RESIDENTIAL.
ASSESSOR USE ONLY TRUE TAX-VALUE --- .1 -
. - . t .st,x.b _.t:.�`s+a >;_r.>'�.- �-s. --ATc100%OFTTV a�:.'_+.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)
Asc• ced Mobile l Manufactured Home Garage (5)
Other improvements (6)
Total improvements(line 0 through line 6) (7)
Total value (line 3 plus line 7) (8)
hereby certify the above is true,correct, Signature of Assessor Date signed(month,day,year)
I and complete.
Verifying action-Signature of Auditor Date signed(month,day,year)
s , ; :•,STANDARDDEDUCTION A6LOWANCE __,_,,, ter,_ _ _ 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 not assessed as real property may not exceed
one-half(1 )of the assessed valu i of the mpbi'home or manufactured home.
Signature it i ' Date sig ed(month day,year)
b -09-1