HomeMy WebLinkAboutHomestead_Folsom (6) CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
.-i' STANDARD/SUPPLEMENTAL DEDUCTION FORM
• State Form 5473(R15/5-14) HC 10
•'• 4,----' Presented by the Department of Local Govemnent Finance
INSTRUCTIONS:See reverse side for filing instructions. i
NOTE:Telephone, opal Security,drivers license,state identification and federal identification numbers are confidential under IC xi "I2 - ;
'• _ �^�/��-� -- • - - -- -CERTIF1CATION STATEMENT • - - �• t ....
I(We) /// r,SE, ...507'Y) certify that I(we)occupied as my(our)principal
place of re-"--nce or am(are)buying the following described real property under contract for which a Homestead ProB y'l d r
Deduction is hereby claimed on the date this application is signed, (date of signature). I(We7£U14
Own. ❑ Am(are)buying under recorded contract.
LIAm (are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation. ((,�gy�pp
au❑ Have a beneficial interest in the trust or the right to occupy the property under the terns of a qualiiWq�laeaide
❑ Am (are)the shareholder, partner, or member of the entity that owns the property.
`"'��UU �All djTO
R
__
-If tying on contract-Fee Simple owner's name
Recorders o5ce where contract is recorded I Record number Page
s-..ie- t4tf Sir, _ _ = 5:- va•f:PROPERTY.DESCRIPTON,I SS.r,. .,.�17:-t, .. - --
Coun Township (TaC lee township)
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Parcel number I L •Won Is the• • . in Question
�,,/ f ' (,0// /-r l I property ❑ Annually assessed mobae home(IC 61.1-n
If on of the residential stuc'm u the- • x -•cog one f((1)(1)ace that ironed' ._ 1 stnrcture is used to produce income,desmbe the use and portico
• of ry traded to produce income.
07‘-/r/S-- Ter 4- COO. 2‘3- O
PROPERTY OWNED ELSEWHERE BY CLAIMANT
Sate,Cowry,and Township Is claimant vacating a homestead?
❑ Yes ❑ No
Sg :u na .of eta I
I hereby certify the above statements are true,correct,and complete.
Address of contact(number end street,sty,state and ZIP code) Address• vast-•honest' .d any(number end street.eery.Sate.and ZIP code)
103 'PQrkS} ���� ■� y1‘o
Land not exceeding one(1)acre Immediately (1)
surrounding residential improvements
Other land (2)
Total land(line I plus line 2) (3)
Residential improvements or Dwelling (4) I •
Annually Assessed Mobile I ^/
Manufactured Home Garage (5) I w ' L/ Q2c2.iu4te w r/•
ii _— ,�,
Other Improvements (6) y /ri. ��• i/ •1!. �!a! /
Total improvements(line 4 through line 6) (7) „�.
Total value (line 3 pis line a / /1.7_ni 9/ S. ` of
- r}.Lir
I hereby certify the above is tote,correct. I�a:fire of Assessor Date signed(month,erg -a0
and complete.Ve yvg aeon-Synavre of AUCi:or n/ v //f,,,r4 //n t Dat♦e.sgrz�(mmonth ay,yyear)
i I
_: 5 _� 17.. _r'-[`: `STANDARD DEDUCTION ALLOWANCE::::-St:-� _,.-'�r— r;.:n-�.,.-'9-�_ +
20 pay 20 Lesser of 60%of the assessed value of the homestead or$45,000 QQ % A.2--- --:.02,1./re
Notwithstanding any other provision,the sum of the deductions provided in IC 6-t.t-I2 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(I/2)of the assessed value of the mobile home or manufactured home.
Sigma ee of Aud:or Date signed(nmttt day,year)
DISTRIBUTION:Ongial-Caury Auditor,FeeSamped Copy-Taxpayer