HomeMy WebLinkAboutHomestead_Redder CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
:A *. STANDARD/SUPPLEMENTAL DEDUCTION FORM
State Farm 5473(R15/5-14) HC10
Prescibed by the Department of Lora Government Goven ent Finance
INSTRUCTIONS:See reverse side for Ting instructions.
NOTE:Telephone, ial Security,driver's license,state iden:i liea 4.nd federal idenLfica(ion numbers am confidential under IC 6-1.1-1
CEr.TIFIC:11rr1 STATEMENT- ' °`-- - : ;7^- •`.' ' Y-",'
/�1l 1
I(We) Aa /e_a' certify that I(we)occupied as my(9199-principal,
place of residence or am(are)buying the following de ribed real property under contract for which a Homestead Property Weal l -�r
Deduction is hereby claimed on the date this application is signed, (date of signature). I(We):l el<(/,
/��I Own. ❑ Am(are)buying under recorded contract. (a/e 14
/ LJ Am (are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation. `s0/y " i
❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified personal r--d-. " 'e/
❑ Am (are)the shareholder partner, or member of the entity that owns the property. ryq
'719) '.3.:'-.7. x ,t- _ "L/JMANT'S INFORMATION:t =. '�.1-2;" >-:-'/TOR
,..)•
If buying on contact,Fee Simple owners name
Recorders o5ce where contract is recorded Record number 1 Page
S'=r-" x.. _d 7 =- zi s--r—5 _ PROPERTY.DESCRIPT.ONTA •'.? ��,jnnn�s��,'.#/l :y-C. = a3/4—.7 ,et•.ti
. /
Township Tad 14a-
parcel number Lega ,^ I is the pr cent'In question:
4141
vi7!/`F'J,J , Real property ❑ Mnuaey assessed noble home(IC 61.1-7)
If any the residential studure or the and not exceed:r g one 11 dI 1 mYMd'Ttely SINCure is used to prodysry income,describe the use and portion
of the traced to produce income. ��, - -d2 //
C�_ is -62 076 -cam. �/Y/ - .
y
Sate.Casey.and Township Is claimant vacating a homestead?
❑ Yes ❑ No
Signature of -nt
I hereby certify the above statements are true,correct,and complete. X Or .
l
- •.•aC pdy ale.Sate. . (P.. ) rI film( I n II��Itmestead=(number. • - ' ,_. a. .and LPmde)
I G �T�\_ 1 U a( u
ASSESSOR USE ONLY I ASSESSED VALUE I HOMESTEAD VALUE I NON-RESIDENTIAL
Land not exceeding one(1)acre immediately (3)
surrounding residential Improvements
Other land (2)
Total land(line 1 plus line 2) I(3)
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) (8)
1 hereby certify the above is true,correct. Signature of Assessor Date signed(month,day,year)
and complete.
Val:rig ace,-Signature of Aud.tor Date signed(north,day,year)
7122i �,.-.c 4c 4 STANDARD_DEDUCTIONALLOWANCE7' r_ — rr
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 property or to a manufactured home that is not assessed as real property may
not exceed one-half(12)of the assessed value of the motile home or manufactured home.
Sgnatse of Aud.ta Date signed(nnnth,day,year)
1
DISTRIBUT ON:Onginal-Corny At tor,FeeSamped Copy-Taxpayer