Homestead_Schoenheit CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
' STANDARD/SUPPLEMENTAL DEDUCTION FORM
rte / Sae Form 5473pinl1-16) HC10
aNie.sai Presorted by Pe Department rf lad Government Fiat
INSTRUCTIONS:See reverse side lot Ping nsets:bona
NOTE Telephone,Social Seaat%chleYS lcense,slate tknfft5an end federal ktnz:afion numbers we confidential under le, . - �� I
CERTIFICATION STATEMENT - -.
I ,
••a . • • 9f /L.�.si ! A i(we)occu•c. as T7r¢
place of residence or am(are)buying the following de atbed real property under contract for which a Homestead Properly Tax Standard
Deduction is hereby claimed co the date this application is signed. (dale of signet R ote9 2018
❑ Own. ❑ Am(are)buying under recorded contract
❑ Am(are) entitled to occupy as a tenant-stockholder of a cooperative housing corporation.
❑ Have a benefidal interest in the trust or the tight to occupy the property under the terms of a qualified perso
❑ Am(are)the shareholder, partner,or member of the entity that owns the property. GIBSON COUNTY AUDITOR
•
• - - -
Carty Township Trig district(ay,sent Neshipi/j 710
Pad amber Legs Onaptm le the L� gss(mrs
4,-.0-4--t-) Mao Y 9 ( rSrtoor rz e,y ❑Ar..miy avesM nztl.hm.11Cfir.,-T)
II arty port on d tie mtderdal structire or the land rnl aosedng me(1)ace that immensely anwnb tat Procne is used to pence incase,describe em use and cordon
el the popery unreel b preens Emma.
a - - Soy- oo /. 8' —0 .1.4,
OWNEDELSE WHEREBY CLAh1AYTa
Stan Casty,arid Taendt
Is claimant vacating a homestead?
❑ Yes ❑ No
d derma n
1 hereby certify the above statements are ender correct.and complete. ,� .&��M tP
t caaxrt(anteread net. sale.atZIPmds) - d vacate homestead,dad(daMwand Sheer,say,stale,and ZiPaat)
/LI 1 C r 1 mith 1(n/ 4 7G4g
ASSESSOR USE ONLY • ASSESSED VALUE.t si HOMESTEAD VALUE I NON-RESIDENTIAL
VALUE
surrounding residential meal un/)pdwemen�b may (1)
Odder land (2) fAleiplkraKiniail2
Total land(lira 1 plus line 2) (3)
Residerda m
l Improvements or OwellIng (4) :}-
annually assessed mobile/ -
manufactured home age (5)
Other improvements (6) y ;rL {a- .!Total improvements(line 4 through line 6) (T)
Total value (line 3 pas line 7) (6)
I hereby certify the above is true,correct, Sprat,.OASSassc gam waled(march.ant sew
and complete.
VedY+R arson-Stymbae of AUaax Dee signed(nett dty,lead
sr, ,.xv- -_ STANDARDDEDtJCTloNALL'OTVANCE.-:a-;� -T ,�,_ ,. -.
20 pay 20 Lesser of 60%of the assessed vie of the homestead or$45,000.
NotwOLGancaag any other prtnisionthe sum of the deductions provided in IC 6-1.1-12 to a noble home S
that is not assessed as real popery or to a manufactured Swine that is not assessed as real popery may
not exceed one-hal(1/2)olthe assessed value of the noble home or mamdactrred home.
SipaMgdwd�� Dm aroma lrmM.dal:l«d
TRIWJTiON Origin-CmtyAumar,ne•Sarred Don-T
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