HomeMy WebLinkAboutHomestead_Sullivan °'° CLAIM FOR HOMESTEAD PROPERTY TAX -r,YEAR
STANDARD / SUPPLEMENTAL DEDUCTION F' ` .0•State Form 5473(R13/12-09) 1 0 ME
s''''-4-4---", Prescribed by the Department of Local Government Finance + - 5 INSTRUCTIONS:See reverse side for fling instructions. NOV 5 2014•
`n CERTIFICATION STATEMENT -
I(We) ��� f/Ar"�///V�'»I_ _ 4/ _ certify that I(we)occu a (,;.nndpal
place of.t�id i�O or (are)buying the following described real property for which a Homestead Property Tax Standard_r��)'(3r�', tplefktlifagiGIR
under.•tract on the .ate this application is filed, (date of filin I
GIBS
PP ( 9) M/e)
gOwn ❑ Am(are)buying under recorded contract
❑ 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.
- z s ' ss•_tY_-. - /J •%, ;CLAIMANT'S INFORMATION;_ `jw. 7,1 ti._. U2-+ :`" 7",
.
e. NCONTRACT.RECORDED_d; .- • - .:'-
If buying on contract,Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
,I
- PROP,ERTY DESCRIPTION- b
County/0 Township 1 Taxing dist•ct(city,town,township) ,�,, /
Parce number Legal description I Is the rty in q on:
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 immediately surroun s that structure is used to produce income,describe the use and portion
of the property utilized to produce income.
86- 02-2 -60() -003• 113D,-Oil
- :•- PROPERTY,_OWNED BYCLAIMANTINOTHER COUNTIES -.F:r -
-
County ' I Township County I Township -_ 1
Signet of claimant `
I hereby certify the above statements are true,correct and complete. y_ L� ���, �
Address number and street,city,st.te,a • 'IP.••e 1 \ J'�
• AF VI LEI i _/ill _ _4S ' //
U b rr I ASSESSED VALUE HOMESTEAD ° NON-RESIDENTIAL
ASSESSOR USEONLY rTRUE TAXNALUE 9._AT.100%OF f-
, .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) '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)
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 Mat 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)