HomeMy WebLinkAboutHomestead_Fowler .c."' CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
i STANDARD /SUPPLEMENTAL DEDUCTION FORM
tState Form 5473(R13/12-09) HC1 O
�, Prescribed by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions.
.■//-1 _ n 4-ACERTIF t:A11014 STATEMENT - - _ •
I(We) L �irl Lrfell.1 v:rt i ;th I(. Ts my(our)principal
place of reside le or am(•9buying t e following described real property for which a Homestead P •:-rty ax q.ndard Deduction is hereby claimed
under contract on the date this application is filed, (date of filing). I(We):
❑ Own El Am(are)buying under recorded contract DEC 2 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 • e trust
❑ Am (are)the shareholder, partner or member of the entity that owns the property. GIBSON COUNTY AUDITOR
4 `` "::',,,T4,---:. ,a- ?'F`- - _ :a?.�CLAIMANTS.INFORMATIOH_- ----.7::::..,-;I__ .: _ . . - - ' ct�=A14 _ _.-.
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If buying on contract,Fee Simple owner's name
Recorders office where contract is recorded Record number Page
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- r�ra.__ _ - .PROPERTY DESCRIPTION. - �„
County I/r Township Taxing district(city town,town
Parcae(number Legal description Is the property in questi .
(f,--.01_1(o—p9(0— . c f 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 that structure is used to produce income,describe the use and portion
of the property utilized to produce income.
'- -. • aPROPER-I OWNED;BY CLAIMANT INOTHER COUNTIES - j
County Township County Township - -A
' Signal a of clai ant • •
I hereby certify the above statements are true,correct and complete.
. e' �
•.d�(number a7 street, state, ZIP code) < ��_G J C/76 5 9
V /t*ilYrii— v sue. �..
u-' ASSESSED VALUE I HOMESTEAD NON-RESIDENTIAL
ASSESSOR USE ONLY - _ rTRUE TAX VALUE d,..AT,100%OETTV VALUE I o 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 I 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 assess s real properly or to a manufactured home that is not assessed as real property may not exceed
one-half(1 o the assessed value of{ttlhh��e mobile home or ranufactured home.
Signature of r_ „ J Date sig7dyponA¢Iv pear)