HomeMy WebLinkAboutHomestead_ThorneCLAIM FOR HOMESTEAD PROPERTY TAX
CREDITISTANDARD DEDUCTION
State Form 5473 (R614-03)
Prescribed by the Department of Local Govemment Finance
INSTRUCTIONS: See reverse We for filing instructions.
FORM YEAR
IL HC 0
I (We) rtify tl, he 1st day of March, 20_
I (We) occupied as our principal p ace of residence the following described real property for which a H es e�Prope T C�edit is hereby claimed:
El (We) owned El Are buying under contract GIBS ON COUNTY AUDI�OH
aHave a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
ONTRACT.'RECORDED? -gas' <,3.�c�, s�k',.�
If buying on contract. Fee Simple owner's name
Recorder's office where contract is recorded Record number I Page
i
F_RO P,E R T,_Y. < D ESCRI _ T _ ON iP - `Ft P"., ,.,_•�, r y ,�_ -
County
T ship
Taxing dutricI (city, town, township)
m
al descdption
Is the property in question:
_DO
❑ Real property ❑ Mobile Homo (I.C. 61.7-7)
If an portion of the residential structure or a land not exceeding one (1) acre imn4diately surrounds that structure is used to produce income, describe the use and portion
of th property utilized to produce income.
AlIft
- -- -
��• i# �,.,' �" .u,-- .r- e- y�PROP.ERTY.OWNEDBY CI'AIMANT IN:OTHER'COUNTIES'i�: �`_- '�gr• -- - '� x �a '3�'
County
Township
,z}- HOMESTEAD�E
VALUEssiVALUE.'
County Township
I hereby certify the above statements are We, coned and complete.
Signature of claimant
Ad to urtlyy and street, cj (at. I7 code
I, q L
�+AS §ESSOR USE ONLY J �
s`cJ:s `,�q
r 'TRUE TAX 1�n
i"rt VA_LUE�rv.T-- ,�1.'rATi100
ASSESSED VALUE
°/a OFTTV
,z}- HOMESTEAD�E
VALUEssiVALUE.'
€c' NON= RESIDENTUIL✓ �
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
>�
Other land
(2)
fir, ti
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
GE
R esidential improvements or Annualty
Assessed Mobile I Manufactured Home
Garage
(5)
Icc
Other improvements
(6)-
- �'h
#
Total improvements (line 4 through line 6)
(T)
Total value (line 3 plus line n
(6)
1 hereby certify the above is We, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
ate}ra ise.�}�,,,r` ?;ems }t�X�'•,`- `t�•�� ;"STANDARD DEDUCTION"ALLOWANCE_ �; a<s'�lwlx im Y' 4v�*>-1,- ,..r�•:r�jifi- ri.�`S"'�< .w.�i�","� S�f�s`st"w�'
20_Pay 20_
Lesser of 112 Homestead
Valuation or 535.000 S
Signature of Auditor Date signed