HomeMy WebLinkAboutHomestead_Thacker CLAIM FOR HOMESTEAD PROPERTY TAX • I YEAR
. � STANDARD1 SUPPLEMENTAL DEDUCTION HCIO
���{q�� Slate Form 5473(ftf5r S14)
was%' Prescribed by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions.
NOTE:Telephone,Social Security,driver's license,state identification and federal identification numbers are confidential under IC 6-1.1-12-37.
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. - -' ( D` - ._ -':CERTIFICATION STATEMENT ii-- 2-�-{7_,a ^r. "T
I(We) S LTbJZ-.pV/7rna
certi I :t I t •can"=-ys�(1( • f.dndpal
place of residence or am(are)buying the following described real property under contract for '-ich-f ' -a'—•- Standard
Deduction is hereby claimed on the date this application is signed, (date of signature)). I(We):
❑ Own. ❑ Am(are)buying under recorded contract. MAY 6 2015
❑ 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 1,-lined pe on- esi.-..- trust.
❑ Am (are)the shareholder, partner, or member of the entity that owns the property. LASigLingi
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If buying on contract.Fee Simple oene?s name
Recorder's office where contract is recorded Record number 1 Page
r"23e *ce -_ -_ _ ._ �t ..-f-:ac3..sPR O PERTYDESC RIPTION .;.* " :iti� � G -_
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Canty r
Township Taxing d own township)
,I .•I : a own,
Parcel number Legal description Is thhe�p`roperty in question
(966-05-38-300-/Z[( 585_Qr 7 I fleal Iopeny ❑ Annually assessed motile home(IC 6-1.1-7)
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If�parson of hie residewl sNGre uwthee laud not exceedng one(1)acre that bmnediately surauds that=mere is used to produce income,aesrnbe the use and portion
of the property ih3¢ed to product income.
PROPERTY OWNED ELSEWHERE BY CLAIMANT
I sea,Casey,and iomstip Is claimant vacating a homestead?
❑ Yes ❑ No
Signature of clamant
I hereby certify the above statements are true,correct,and complete. )( Da eat^ d),.�^jaw_
Address of contact(number and street nuy.Bata.end ZIP code) /Address of vacated homKead,d any(number any(numberr eend``streetAt coy9ate..and ZIP coda)
155G (inlive P^ino ■J rl Ur/O
Land not exceeding one(1)acre Immediately (1)
surrounding residential improvements
Other land (2)
Total land(line I plus line 2) (3)
ResIdendal Improvements or Dwelling (4)
Annually Assessed Mobile/
Manufactured Home Garage (5)
Other Improvements (6)
Total Improvements(line 4 through line 6) (7)
Total value (line 3 plus line 7) (8)
I hereby certify the above is true,correct, Signature of Assessor Date signed(nma,day,year)
and complete.
Vedying adios-Sgnature ofNGtr Date ( year)
/ AJ
-g q _.. e - ° '=STANDARD DEDUCTION ALLOWANCE_ Zr.'--%. .-? .. _ - :.i
20 pay 20 Lesser of 60%of the assessed value of the homestead or 545,000 y q 1C
Notwithstanding any other provision,the sum of the deductions provided in IC 6-1.1-12 to a mobile home 5 rl
that is not assessed as real property or to a manufactured home that is not assessed as real property may
not exceed on If(1/2)of the assessed Kafue of the mobile home or manufactured home. / • e
Sgenre ark's - ' /� ay year)
jU !/L� /h'/ / GIBBON CO F�IAITO�ts
DISTRIBUTION: Original-County Pitta,Fee-Stamped Copy-Taxpayer