HomeMy WebLinkAboutHomestead_Skaggs CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
...a...4pp_���, ) STANDARD / SUPPLEMENTAL DEDUCTION FORM
r v' State Form 5473(R13/12-09) HC10
Prescribed by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions. 8/L/ 38.51. 6 374 ir-, -- - Mr! -Pr%
CERTIFIC•TION � `
I(We) a ice., �- /i certify that I(we)ocalpied as my(our)principal
place of residence or am(are)b•(Ing the following d-scribed real property for which a Homestead Property Tax Ste d-D@edµct(oq's hereby claimed
under contract on the date this fplication is filed, (date of filing). I(We): I 1 I (!��u
❑ Own ❑ tenant-stockholder(are) ckhol under oft recorded contract �r
❑ Am (are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation r
❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified�l 6�dr€seeliatht@tUDITOR
❑ Am (are)the shareholder, partner or member of the entity that owns the property.
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If buying on contract,Fee Simple owner's name
Recorder's office where contract is recorded Record number I Page
,I
,'PROPERTY DESCRIPTION
County Township Taxing district(or township)
Parcel number Leg esmption L/_. s_ I Is the property in question:
�� S P n ❑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)acre that i mediatey surrounds that structure is used to produce income,describe the use and portion
of the property utilized to produce income. C'
aCo-td.- o7 - X03- ooi. 593 - o }- b
I - _ PROPERTYOWNED cpsocifam OTHER COUNTIES
County Township County Township .,
I hereby certify the above statements are true,correct and complete.
Signature of FIaimant .
Address(number and street,city,state,and ZIP code)
) k ) 4i ,R c 1 ,Pr,„, eP. x f-A— l/ 74.17 0
ASSESSOR(Mar TRUE TAX VALUE I ASSESS/D VALUE I HOMESTEAD I O NON-RESIDENTIAL
Land not exceeding 1 (one)acre immediately
surrounding residential improvements. (1)
Other land (2)
Total land(line 1 plus line 1) (3)
Dwelling (4)
Residential improvements or Annually
Assessed Mobile I Manufactured Home Garage (5)
Other improvements (6)
Total improvements(line 4 through line 6) (7)
Total value (line 3 plta 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)
•
I 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 property or to a manufactured home that is not assessed as real property may not exceed
one-hall(1/2)of the assessed value of the mobile home or manufactured home.
Signatur oft ;: ,�✓W - Date signed(month,day.year)