HomeMy WebLinkAboutHomestead_Bates (8)N�
I(We) 7K ev �J L certify that I (we) occupied as my (our) principal
place of r idence or am (are) buying the following describKd real property for which a Homestead Property Tax Standard Deduction is Rereby claimed
under contract on the date this application is filed, (date of filing):
IM FOR HOMESTEAD PROPERTY TAX
❑ Am (are) entitled to occupy as a tenant - stockholder of a cooperative housing corporation '
TANDARD / SUPPLEMENTAL DEDUCTION
-
State Form 5473 (R12 / 6-09)
number d claimant (last fm dg3s)
Prescribed by the Department of Loral Govemment Finance
WSTRUCTIONS:
Name of claimant's spouse (1 at npge)
Social Security nu
,v
CONTRACT RECORDED
It buying on contract- Fee Simple owners name
Recorders afire where contract is recorded Record number Page
PROPERTY
Township Taxing district (city, town, township)
ancel number
Legal tlescription Is the pmpe in question:
�� Real property Annually assessed mobile home (IC 61.1 -7)
If any portion of the residential structure or the IoM not a6meeding ore (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion
of the lxoperty, utilized to produce income.
alv - 17 -09- XOO • 00y. 9 r 9- v "-/
PROPERTY OWNED BY
County Township Counry Township
I hereby caNfy the above statements are true, correct and complete.
Sig tur of dalmanwt
Addne (n tuber and&.., dry state, and ZJPcede)
�/ &/ - S7S S Ou/tnJvilie /N
r ,
ASSES�OR USE ONLY
Land not exceeding t (one) acre immediatety
surmundin resiMi.'lim rovements.
' xa-z'"
Other land
(2)
•' �``-
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
4 ?; t Aa '' r a. ivy-.
-
Residential improvements or Annually
Assessed Mobile I Manufactured Home
Garage
(5)
r
«,;: = '1•s�.�`Y }.`%ie s `
Other improvements
(6)
Total Improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(6)
1 hereby certify the above is true, correct,
Signature of Assessor
Data signed (m anth, day, year)
and complete.
Verifying action - Signature of Auditor Data signed (month, day, year)
STANDARD r r
20— pay 20 Lesser of 60% of the assessed value of the homestead or $45,000
Not, ilhstaMing any otherpmvision, the win of the deductions provided in /C 61.1 -12 to a mobn7e home that is $
not assessed as real pmpemy or to a manufactured home that is rat assessed as real property may not exceed
one -haff (12) of the assessed value of the He home or manufactured home.
Signature of Auditor Data signed (month, day, )ear)
1