HomeMy WebLinkAboutHomestead_Dunn CLAIM FOR HOMESTEAD PROPERTY TAX
YEAR
a STANDARD I SUPPLEMENTAL DEDUCTION FORM
„, State Fenn 5473(R15/5-14)
• 1
Prescribed tr7 the Department of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions.
NOTE:Telephone,Social Security,divers license,state identification and(Semi identification numbers are confidential un 6- - 7.
I(We)_111V 11 • 4 certify that I(we) pi
place of residen or am(are)buying the following described real property under contract for which a Homestead Property Tax Standard
Deduction is hereby claimed on the date this application is signed, _ (date of si te),I(2/eo1A
Li Own. ❑ Am(are)buying under recorded contract. L 14
❑ 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 peddlaire•• t
❑ Am(are)the shareholder, partner, or member of the entity that owns the property. GIBSON COUNT 1 II/ OR
_i - Sr CI'AIMANT•SINFORMATION-". _ - _ �'. _ 5--
If buying on conoadt Fee Surple owner's name
Recorder's a tm where contract is recorded Record number I Page
�. - :. .:T-.1_5"--c- L_T "z:PROPERTY DESCRIPTION S ! itie -L ' tt,'"" -_:Y-_
County I Township
biting district(ay,town low shy)
Parcel number Legal description i 6 7 it C Is the property in question:
P7EJ C I 3 -/ ),,,, ❑Real prope y ❑Annually assessed mobile Tame(IC 61.1-])
If any won of the residential sthnsre or the land not exceeding SE(1)acre that immediately surrounds that structure is used to produce income,describe the use and portion
of the property utilized to produce income.
2.6 . 17 - o / - 400 - 005. , - '7 - o .!
PROPERTY OWNED ELSEWHERE BY CLAIMANT
Sate,Coaay,and Township (Is claimant vacating a homestead?
0 Yes 0 No
Sgnature mars
I hereby certify the above statements are true,correct,and complete.X
J
Address of corned(number and sweet,city,state,and ZIP rode) Address of tat acid,d any(nu and Meet.ay.Sara,and ZIP code>,
y . J • ' 1a - a L. / - I
ASSESSOR USE ONLY I ASSESSED VALUE I HOMESTEAD VALUE I NON yDENTIAL
Land not exceeding one(1)acre Immediately (11 I
surrounding residential Improvements
Other land (2)
Total land(line 1 plus line 2) I(3) 1 I
Residential Improvements or Dwelling I(4)
Annually Assessed Mobile I
Manufactured Home Garage I(5)
Other improvements (6) -
Total improvements(line 4 through line 6) (7)
Total value (line 3 plus line 7) 1(8)
I hereby certify the above is true,correct, I Sgrature of Assessor Date signed(wadi,day,year)
and complete.
Verifying action-Signature of Auditor Date signed(month,day.yea)
.._as<s[_.- - :e 5 - ",i-STANDARODEDUCTIONALLOWANCEa u��'-"s="^''' a-� 3�-+tea
._.� ��=.>-sue.-.�-`>< �`r:xy'�•��1�'#��
20 pay 20 Lesser of 60%of the assessed value of the homestead or 545,000
Notwithstanding any other provision,the sum of the deductions provided in IC 6-1.1-12 to a mobile home S
that is not assessed as real property or to a manufactured home that is not assessed as real properly may
not exceed one-half(112)of the assessed value of the mobile home or manufactured home.
Signature of Auditor Date signed(month.day.yea)
DISTRIBUTION: Onginal-C y Audio,Fee-Ramped Copy-Tax ayer