HomeMy WebLinkAboutHomestead_Hudson (2) CLAIM FOR HOMESTEAD PROPERTY TAX YEAR• STANDARD!SUPPLEMENTAL DEDUCTION FORM
I State Form 5413(R15/5-14) HC10
Prescribed by the Department of Local Goverment Finance
INSTRUCTIONS:See reverse side for filing instructions.
NOTE:Telephone,Social Securiy,driver's license,state identification and federal identification numbers are confidential under IC ! -1217. ' a
p -, CERTIFICATION STATEMENT '• .. ,°- -,:1-1. f :1'71: , - S'
I(We) I_- S certify that I(we)occupied as my(trari Rath
place•.--•-nce or-m(are)buying the following described real property under contract for which a Homestead Pro Tax Standard
fled is hereby claimed on the date this application is signed, (date of signatirta to 201j
- ❑ Am(are)buying under recorded contact. Y
❑ 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 qua i 4 "=T'.±a( -'r 0 Am(are)the shareholder, partner, or member of the entity that owns the property. OUNTy .
;.--_r>. -'. '.- ` _.:CLAIMANT'SINFORMATION- T.- :.�'_• .. _ - S,.
`•
If buying on conram.Fee Simple owner's name •
I
Recorders o ice where contact is recorded Record number I Page
t -'f5 _ t;d �.. _ ^2 r.24=PROPERTY DESCRIRTION _ =ETom`!'.`, -'te r'.'. .`.'-a
• i I Township Ta d(city,town.towns)
• ASol , s illy
Parcel number Leg L/A�/1 +j Is the property la question:
e i 9 / jam//Real property ❑ Annually assessed made home(IC 6-1.1-7)
If any porton.of the residential structure or me land..01 exceedig one(1)acre that wrcdia;ely • 7s atjf•j.me in used to produce irmme,desmpe the use and
m me property vied to produce!mane. f,v
9
a�. /�. , 9/0/ 000. /4-620 . o
PROPERTY OWNED ELSEWHERE BY CLAIMANT
Sax,Coun^y,and Townsttip Is claimant vacating a homestead?
❑ Yes ❑ No
Sgratur f claimant /_
I hereby certify the above statements are true,correct,and complete. J J�. C'
Address of contact(number and street.coy rate,and ZIP code) I Add: of vacated hom tead,d any(number and street.any,rate.and ZIP code)
°tit)• 5c0'11 -. OcJf1Su//oiPWZ
Land not exceeding one(1)acre Immediately I(1)
surrounding residential improvements
Other land 1(2)
Total land(line 1 plus line 2) 1(3) a I w I
—Residential improvements or Dwelling (4) a
stars 6 eft v . eit;r \
Annually Assessed Mobile/ /
Manufactured Home Garage (5)
Other improvements (6) .-.
Total Improvements(line 4 through line 6) (7)
Total value (line 3 plus line 7) (6)
I hereby certify the above is true,correct. Signature of Assessor Date signed(movh,day year)
and complete.
ye-tying avian-Signature of Actor Date signed(nmh,day,year)
_ a• —s"-=. - ° =-- "STANDARD DEDUCTION ALLOWANCE' -ZVr_:-.Jc, .}' ^*+�3.,,; :g=am
20 pay 20 Lesser of 60%of the assessed value of the homestead or$45,000
tttvlthstanding 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 mobile home or manufactured home.
Signature of Pud.tor Date signed(month,day,year)
DISTRIBUTION: Ongial-County AA:or.Fie-Damned Copy-Taxpayer