HomeMy WebLinkAboutHomestead_Walters (6) CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
Via_. STANDARD /SUPPLEMENTAL DEDUCTION FORM
State Forth 5473(R73/12-09) HC10
en ! Prescribed by the Department of Local Government Finance �r
INSTRUCTIONS:See reverse side for filing instructions. ; j tl ]' Ft
- - CERTIFICATION STATEMENT - - . - -
I(We) It! s_ . certify that I f�r�i•e•)�1occupied�7af1s Amy(our)principal
place of residence or a (are)buying the following described real property for which a Homestead Property Tax StanydlWrd Diductidh11t+hereby claimed
under contract on the date this application is filed, (date of ding). I(We):
❑ Own El Am(are)buying under recorded contract
41224y y —
❑ Am (are)entitled 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
❑ Am (are)the shareholder, partner or member of the entity that owns the property.
- . a3. _ --.--. _ % - Tc CLAIMANT,S]INFORMATION '_ .-. ..� : 7e` 1-:% 1;_ - .�-1`.
-'�.� . • . . _' -_ _
If buying on contract,Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
- .... . . - . . -�_ a- . P,ROPERTY DESCRIPTIONTI:` - e' . z J . _�t
County Township 1 Taxing dis . (dry,form,,township)
AIn -'en1/4--)
Parcel number Legal description I Is Is the property in question:
Qttd q P r/3,1- ❑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 surrounds that structure is used to produce income,describe the use and portion
of the property utilized to produce income.
-6' ' l.2 - 02 - 30Y - 00 3 0 910 - 0 a. 8
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>:-_-_,. PROPERTYOWNEO-BYCLAIMANTINOTHERCOUNTIES•- . , := _
County Township County Township
hereby certify the above statements are true,correct and complete. 9^a i claimant
Address(number an• tree(. . tate,and Zl'•••e) , L���
d/ / G / . _ .<.. 1.24. _.L �n . D
ASSESSOR USE ONLY . />`.-�I-TRUE TAX VALUE ASSESSED VALUE HOMES EAD __I NON-RESIDENTIAL --'-.
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)
hereby certify the above is true,correct, Signature of Assessor Dale Signed(month,day,year)
I 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 that is not assessed as real property may not exceed
one-half(1/2)of the assessed value of the mobile home or manufactured home.
Signa re of Auditor - 4. Date signed(month,day,year)