HomeMy WebLinkAboutHomestead_Norrington (2) CLAIM FOR HOMESTEAD PROPERTY TAX FORM
e`%`:�� YEAR
:A : STANDARD I SUPPLEMENTAL DEDUCTION
Slate Foe 5673(R16/5-I4) HC70
• -• Presmded by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions.
NOTE:Telephone,Social Secunfy,driver's license,state idenGucation and federal identification numbers am confidential under IC 6-1.1-12-37.
- - •: .CERTIFl,CA-710N STATEMENT -�- ' - -_ -"•.. �-.-- _- .'•-}-���
I(We) 1 1 -_ V •- ) fir) 1 (
place of residen : or am(are)buying e follows.•described real prope a 1 der • tract for which a Homes P pe Tax a
Deduction is heresy claimed on the d this application is signed. (date sign re l�/✓ Jan'',
L `'^-' ❑ Am(are)buying under recorded contract.
o An (are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation. AA nY n ;1 9
ID Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified persd8'S1' esl ence trust;
❑ Am (are)the shareholder, partner, or member of the entity that owns the property.
'
< - .. ._
If toying on contract,Fee Simple owner's name
Peewees cite mere contract is recorded Record number (Page
..:375 ._-M t-:+:452.y.-tiff _ I ± ;.— ___.a:FROPERTY DESCRIPTION- ii+•`- :. +:4+- C":_C: %:. i'.'L' a=1
Court' Township Taxing district(°b tame.township)
•
Parcel number ' I Legal desag;gn Is the 1prope y in ques'ten: �+
ac,- 1 4-N. -9 t3,-( 1 O ^. 15a-—OT-7 L"Reat property ❑ Annually assessed mobile home(IC e-l.1-7)
If any portion of the resident strY a or the land not exceedwsg one(t)acre that immedetely surrounds that structure is used to produce income.describe the use and portion
of the property tided to petcuce income.
309 S
PROPERTY OWNED ELSEWHERE BY CLAIMANT
Sate,Carry,and Township Is claimant vacating a homestead?
❑ Yes ❑ No
Signature of claimant
I hereby certify the above statements are true,correct,and complete. / '
I '
Address of cortad(number and sage%city.stare,and ZIP code) -••ress of vacated homestead,d any(number a greet.city,gate,and ZIP code)
ASSESSOR USE ONLY ASSESSED VALUE HOMESTEAD VALUE I NONRESIDENTIAL-
VALUE
Land not exceeding one(1)acre Immediately (1) ` --I
surrounding residential improvements - _-_- - -----__ --
Oherland (2) _-_._ c " ____
Total land(line 1 plus line 2) (3) M
- __—
Residential improvements or Dwelling (4) _ - - __ . -
Annually Assessed Mobilel
Manufactured Home Garage t.
(5) --__ -
Other improvements (6)
Total improvements(line 4 through line 6) (7)
Total value (line 3 plus line 7) (5)
I hereby certify the above is true,correct,
Signature of Assessor Date signed(nova day,year)
and complete.
Verv'Ying aeon-Signature of AUdMr Data signed(month,day,year)
_ ._ : .,.c`<•-S. ,.,`"-7 STANDARD DEDUCTION ALLOWANCE S -;- : t`- <{i-'rt,a:�' r«
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 $
that is not assessed as real properly or to a manufactured home that is not assessed as real property may
not exceed one-hail(112)of the assessed value of the mobile home or manufactured home.
Signature of Audlor - Date signed(more*day,yeah
3.Q. X51. . .S.... ) - l - l3
DISTRIBUTION: Ong.al-County Aud.tor,Fie-Samped Copy-Taxpayer