HomeMy WebLinkAboutHomestead_IsaacsCLAIM FOR HOMESTEAD PROPERTY TAX
V/0 STANDARD / SUPPLEMENTAL DEDUCTION
State Form 5073 (R1216-09)
Prescribed by the Department of Loral Government Finance
INSTRUCTIONS: See reverse side for filing
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MAY 3 2010
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I (We) �Cti r -�-! Y11 J s C,_ - rtify t�h�l (vie) pied as my (our) principal
place of residence or am (are) buying the following described real property for which a HomesteasiGBBON 130t1hfdfYrdA&IIX1QA is hereby claimed
under contract on the date this application is filed, (date of filing):
❑ I (We) 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 qualified personal residence trust
INFORMATION
If buying on mntracL Fee Simple owners name
Recorders ogre where contract is recorded Record number Page
PROPERTY DESCRIPTION
County
Township
raring eistrid (city, town, rwnship)
U e
Parcel number
Legal description
Is the property in question:
26- D S- S ?- 00 S fU
❑ Real property ❑ Annually assessed mobile tame (IC 6- 1.1 -7)
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that strucame is used to produce taorrle, describe the use and portion
of the property utilized to produce income.
PROPERTY OWNED BY
County Township County Tovmstvp
1 hereby certify the above statements are true, correct and complete.
Si natur imam
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Address um rand sheet city. state, and 2lPcode)
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ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED . r NON-RESIDENTIA
AT 100% OF TTV VALUE VALUE
Land not exceeding 1 (onecre immediately '`�� ' e=
nn'•-,
surrounding residential imp rovements. (1)`? - x °'SK•s
Other land
(2)
�"-
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
..•a rsr �7 * 1.v`i
.„�� ffy.•'•s '•ir`;
Residential improvements or Annually
Assessed Mobile 1 Manufactured Home
'P'+{}�`, -
Garage
(5)
Other improvements
(6)
Total Improvements (line 4 through line 6)
(7)
Total value (line 3p/ts line 7)
(8)
1 hereby certity the above is true, correct,
Signature of Assessor
Data signed (month, day, year)
and complete.
Verifying action - Signature of Auditor
Data signed (month, day, year)
STANDARD • r
20 pay 20 _ Lesser of 60% of the assessed value of the homestead or $45,000
Notwithstanding any otherprovision. the sum of the deductions provided in IC 6- 1.1 -12 to a mob& home that is
$
not assessed as real p opedy or a a manufactured home that is not assessed as real property may not exceed
- -
one- hall (12) of the assessed value of the mobile home or manufactured home.
Signawre of Auditor
Data signed (aanth, day, year)