HomeMy WebLinkAboutHomestead_Dietsch e°'" CLAIM FOR HOMESTEAD PROPERTY TAX
STANDARD /SUPPLEMENTAL DEDUCTION FORM YEAR
State Form 5473(R13112-09) HC10
.% , ! Prescribed by the Department of Loral Government Finance
INSTRUCTIONS:See reverse side for tiling instructions. , /■ / 4< 9 �g�7
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(date of filing). I(We): I �.
❑ Own ❑ Am(are)buying under recorded contract OC T 10 2014
❑ 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 pers. al residence trust
❑ Am (are)the shareholder, partner or member of the entity that owns the property. 1 ' •'
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;'- �CLAIMANT'S_INFORMATION,- - ' i. -. i:..:
_1 _ CONTRACT-RECORDED - 7 -•e_ _ --, •
If buying on contract,Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
--. � [Ty _ PROPERT:,Y-DESCRIPTION 1s. 'f•
County Township Taxing district(city,town,township)
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Parcel number Legal description I Is the property in question:
eal 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 surro nds that structure is used to produce income,describe the use and portion
of the property utilized to produce income.
lc. -o?a -300 ow . / 3 o... S
;sr,- PROPERTY OWNED BY_CLAIMANT IN OTHER COUNTIES.-_•,•. _. _ _ _ - ,
County Township County Township
I hereby certify the above statements are true,correct and complete. Signature of nt (/�}����
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Address(number and saeeL ,state,and ZIP coder-7 /
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ASSESSOR USE ONLY - I% .-_I TRUE TAX VALUE �AAT,100%OF TTVVALUE] .��VALUEAD � NON-RESIDENTIAL
Land not exceeding 1(one)acre immediately
surrounding residential improvements. I(1)
Other land (2)
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' Total land(line 1 plus line 2) (3)
Dwelling (4)
Residential improvements or Annually
Assessed Mobile/Manufactured Home
Garage (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)•
' - - - - - -STAND_AR_D 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 6-1.142 to a mobile home that is $
not assessed as mal property or to a manufactured home that is not assessed as real property may not exceed
one-half(12)of the assessed value of the mobile home or manufactured home.
Signature of Auditor Date signed(month,day,year)
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