HomeMy WebLinkAboutHomestead_Angle "" CLAIM FOR HOMESTEAD PROPERTY TAX FORM 1 YEAR
:b.:.1;1 STANDARD I SUPPLEMENTAL DEDUCTION
' Sate Fors 5473(R15I 5-14) HC10
• , Prescribed by the Department of Local Goverment Finance
INSTRUCTIONS:See reverse side for filing instructions.
NOTE:Telephone,Social Security,drivers license,state identification and federal identification numbers am confidential under IC 6-1.1-12-:t
•- ' �-. .• _' 4 - "` - _CERTIFICATIONSTATEMENT ""' •- - ,/rit ��
I(ace) 1 �/. certify which I(we)Homestead ro my(T •pre ' pal
place of residence or am(are)buying th/following described real property under contract for which a Homestead Propery Tax Santlartl
Deduction is hereby claimed on the date this application is signed, (date of signature)QQVjlp):
X! Own. ❑ Am(are)buying under recorded contract. 1/4((,, /2,.,
'• 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 qualiflEK0e6. 1: idence trust.
❑ Am(are)the shareholder, partner, or member of the entity that owns the property. 'UU ite a' r
.C. 3:r >v
of buying on contact Fee Simple meees name
Recorder's oSce where contract is recorded 1 Record number 1 Page
i _ 2i : _ :- 3-2,'" tip tE -.'r4 PROPERTYDESCRIPTIION'-1_-:' -.`a = - r_ -• L` -=3--`-.•
Corr Township Taring ti (Dry own.township)aiL
Parcel number Leg description , / I Is the pr TV in question:
a 54/•c5//.0 S-(72// Real property ❑Annually assessed mob a home(IC 61.1-7)
If any potion of theVental sbvcwe or the land not easedstg one(1)acre that immediately surrounds that structure 5 used to produce income,describe the use and portion
of the property tar produce income.
0/G•1/aS-,t3aa-7-5(‘.36-a,727
PROPERTY OWNED ELSEWHERE BY CLAIMANT
State,Cony,and TowmNp Is claimant vacating a homestead?
❑ Yes ❑ No
ski a et clamant
I hereby certify the above statements are true,correct,and complete. J }" _'— . / p _ Q-s
—Address of contact(number and street city,sate,and ZIP code) Address of vacated homestead,d any(n any(number and street city a ,and ZIP code)
ASSESSOR USE ONLY I ASSESSED VALUE I HOMESTEAD VALUE I NON yESISIDENTIAL
Land not exceeding one(1)acre immediately I(1) -
surrounding residential improvements
Other land (2)
Total land(line f plus line 2) (3)
Residential improvements or Dwelling (4)
Annually Assessed Mobile I
Manufactured Home Garage (5)
Other improvements (6)
Total improvements(line 4 through line 6) (7)
Total value (line 3 pits line 7) (6)
I hereby certify the above is true,correct, Signature of Assessor Date signed(month,day,year)
and complete.
Venyig actin-Signature of Anton Date signed Una,*day.year)
-" 3 _ =STANDARD.DEDUCTN)N ALLOWANCEr-' _._ _._'.c '.'<' '--"r
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 $
that is not assessed as real properly or to a manufactured home that is not assessed as real property may
not exceed one-half(1R)of the assessed value of the motile home or manufactured home.
Signet re of Audtor Data signed(month,day,year)
DISTRIBUTION: Ongtial-County Auditor,Fie-Stamped Copy-Taxpayer