HomeMy WebLinkAboutHomestead_Richardson (3) CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
i_ T ? STANDARD/SUPPLEMENTAL DEDUCTION FORM•
Stare Face 5473(RIS I S14) HC10
1' Prescribed by the Department of Local Government Fiance
INSTRUCTIONS:See reverse side for fling instructions.
NOTE:Telephone,Social Security,drivers license,state identification and federal identification numbers are confidential under IC 6-1.1-12-37.
- /!� - ° CERTIFICATION S.TATEMENTT - n'• - , • •
I( Ve14 �!t 7 f.�r e ��%_." „a(y that I(we)••'-•-ied(:s ft (our) •l•ci.'
place of residence or am(are)buying the following described real property under contract for which a Ho .2:•-ad 1 op:u =x;to •a is
Deduction is hereby claimed on the date this application is signed, (date of signature). I Me:
❑ Own. ❑ Am(are)buying under recorded contract. APR 21 2015
❑ Not (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 pers•nal residence trust.
❑ Am (are)the shareholder, partner, or member of the entity that owns the property. • a
u.. —draw!% I
• -
Recorders d:ce where mead is recorded Record number Page
*=?i:_ __a.-- . - - _ PROPERTY. /ESCRIP.IION3.c v - - . `.sg:= . :-'awe Ct'a r' r:s
Court' Township Taring district(Uy,tout-n toenshy)
Parcel number Legal description r/'/(///•Is the meet/in
❑Real property ❑Annually assessed noble tome(IC 6-1.1-7)
If any portion of the residential satire a the land not exceeding one(1)acre that immediately surrounds that saucture is used to produce income,describe the use and portion
of be property teddee to produce income.
aG - o6 - /6 - `/OO - 003 . 739 -0/7
PROPERTY OWNED ELSEWHERE BY CLAIMANT
State,County,and Township Is claimant vacating a homestead?
yI' /' _ ❑ Yes/❑ NNo' {GA,�
I Add of rix.--es i_Aer l Leet ca
I hereby certify the above statements are true,correct,and complete. ffeessss
xilliofconact(number and sheaf my.rate,and 21Pccde) Pd^ of vacated bonersad.d any(number and great,city,rive.and ZIPmde)
ctess V/27 00 It2nc/sco. sib
Land not exceeding one(1)acre Immediately I(t)
surrounding residential Improvements
I Other land 1(2) I
ITotal land(line 1 plus line 2) I P) I I
Residential Improvements or Dwelling I(a) I
Annually Assessed Mobile I
Manufactured Home Garage I(5)
Other improvements (6)
Total improvements(line 0 through line 6) (7)
Total value (line 3 plus line 7) (8)
I hereby certify the above is true,correct,
Signature of Assesses Date signed(month.day,year)
and complete.
Verifying action-signature of Auditor Date signed(month,day.year)
t I
- --'- : 6:'.-4—..•.=jSTANDARD DE_DUCTIONALLOWANCE.-.7. -,_- z; a... .- ;:r,. ,.-_,..:1
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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 $ APR 21 2015
that is not assessed as real property or to a manufactured home that is not assessed as real properly may
not exceed one-hat!(1/2)of the assessed value of the mobile home or manufactured home.
Sgnauaef Auditor Date signed( day.y
ear)
•' of-
" "" - OIBSuN COUNTY AUDITOR
DISTRIBUTION: Orgial-County AW.:a,Fie-Samped Copy-Taxpayer