HomeMy WebLinkAboutHomestead_Nolcox CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
:t._,, 1 STANDARD/SUPPLEMENTAL DEDUCTION FORM
\,- ; State Form 5473(R15/5-14) HC10
\ Prescribed by the Department of Local Governnem Finance v
.
INSTRUCTIONS:See reverse side for filing instructions.
NOTE:Telephone,Social Sewn,driver's license,state identification and federal identification numbers are wnraen't I'de j C 6.1. 1 2- 7. �L
_ r': : - `•n TS - CER11FICATION STATEMENT-;'" - -Ix;if'' YrI, 1 -F ';
I are a e-•. ..fl I
I(We) �� Ant • certify that (we occupied as my(our)principal
place of residence or am(are)b ing the following•esciibed real property under contract for which a Homesft�ead P operty Tax Standard
Deduction is hereby . .. .e claim- • •e date this application is signed, (DE Yjstrlu 914We):
❑ Own. ❑ 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 qu ence trust.
❑ Am(are)the shareholder, partner, or member of the entity that owns the property. GIBSON COUNTY AUDITOR
- - .
�Sa ,.. :tort.--
It buying on contract Fee Smple owners name
Recorder's o5ce where contract is recorded Record number Page
(s":a - r ,gig=in: - PROPERTY DESCRIPTION? t�l 3 o,. 7f - t.-_v �.__;" y
C • 1 Tmwnshlp Taxing district(aty,town ')
Lae `--7 t{r-/)ten t�h
///Parcel number I Legal description Is theerproperty g auesborx
9f h r1 '.1 kr/r.)_/1/3/.Valo-C Tl LZ Real progeny ❑Annually assessed mobae home(IC 6-1.1-7)
If any porton of the residel�nall=awe or the land nor exceeding ex one(1)acre that Lrvnda:ey surrounds that Manure is used to produce income,describe the use arid poi
of the property stn t-ed to produce Acme.
PROPERTY OWNED ELSEWHERE BY CLAIMANT
I State, ay,.and Township Is claimant vacating a homestead?
0 Yes 0 No
a tedh (num I hereby certify the above statements are true,correct,and complete.
Address of contact(number and srel ay.state,and LP.. ) dress f va tea homestead,d any(num and street,oty,state,end ZIP code)
s C7 ' U. S• U/7r') � nee,/,n
ASSESSOR USE ONLY ASSESSED VALUE I HOMESTEAD VALUE I NON-RESIDENTIAL
VALUE
Land not exceeding one(1)acre Immediately (1)
surrounding residential improvements
Other land (2)
Total land(line 1 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 plus line 7) 1(8)
I hereby certify the above is hue,correct, Signature of Assessor Date signed(month,day,year)
and complete.
Vedyug anon-Sgnabue of AA.:or F 1D tgredE• i
5 4 - d- rr"r'r =tiSTANDARD DEDUCTION ALLOWANCE g°t , '7 'F=-ti,
F
20
pay 20 - Lesser of 60%of the assessed value of the homestead or 545,000 DEC II 2014
Nohtithstanding any other provision,the sum of the deductions provided in IC 6-1.1-12 to a mobile home S Y
that is not assessed as real property or to a manufactured home that is not assessed as real property may
not ex——•one-half(12)ofthe assessed value of the mobile home or manufactured home. , .—A ,a/
`'�j. vu,
\LVLtpf �d_T,� GIBSO p�• DITOR
DISTRIBUTION: Original-County AuM.or,FileSamped Copy-Taxpayer /