HomeMy WebLinkAboutHomestead_Caudill •
'>2\ CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
t STANDARD/SUPPLEMENTAL DEDUCTION FORM
!'/ State Form 5473(R15/5.14) HC10
• - Prescribed by the Department of Local Govermnem Finance
INSTRUCTIONS:See reverse side for tiling instructions.
' NOTE:Telephone,Social Security,drivers license,state identification and federal identification numbers are confidential under IC 6-1.1-12-37.
I(We) • I(we)occupied as my(our)principal
place of resi ence or am( 'rig the following deQribed real property under contract or whi a Homestead Property Tax Standard
Deduction is hereby claimed on the date this application is signed, (date of signature). I(We):
❑ Own. ❑ Am(are)buying under recorded contract.
❑ 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 qualified personal residence trust.
❑ Am (are)the shareholder, partner, or member of the entity that owns the property.
-
If buying on nanSad.Fee&Oriole owners name
Recorders oMre where contract is recorded I Record number I Page
cx-a_- 71 ._ r PROPERTY.DESCRIPTION `=—tx-: .-.u_.saw•-.Y .."e':.C-m -?..r42,,--
County Township I Taming basics(ory,tam,township
Parcel number Legal description I Is the pre M in questtion:
d(0 ea l a-04-3d - 0 00. a 6302.1 Real property ❑ Anna%assessed mobae home(1C 61.i-7)
It any portion of the residerial s7 dune or the land not exceeding one(t)ante that immediately surrounds that structure is used to produce intone.describe the use and potion
of the property d heed to produce income.
Pe y- a- ,o bag
State,County,and Towns/up Is claimant vacatinga estead2
❑ Yes ❑ o
Signature of- imam
I hereby certify the above statements are true,correct,and complete.
x'
i Address of contact(number and Sreea coy date,and ZIP rode) d ess of vacated .,, '- rdy
t any(number and street, stare,and ZIP code)
L• • a roe .Prwoc do IJ
ASSESSOR USE ONLY I ASSESSED VALUE I HOMESTEAD VALUE I NON.RESIDENTIAL
Land not exceeding one(1)acre Immediately I(1)
surrounding residential improvements
-
Other land _ 1(2) �p--�
Total land(line 1 plus line 2) (3) FLED
D
Residential Annually s Assessed Mobil or Dwelling (4)
Manuf c tired Hom Mobile I
Manufactured Home Garage (5)
Other improvements (6) MAY 7 2015
Total improvements(line 4 through line 6) (7)
Total value (line 3 plus line 7) (8) ass
I hereby certify the above is true,correct
Signature Of Assessor GIBSON el.' t tiA R
and complete. 1. I i V
Vady'sg action-Signature of Authtor Date signed(rnaah,day,year)
'?_ .,_ -`:", STANDARD_DEDUCTION ALLOWANCE ti'_°r _"'; `.3,�_ ; _ji='F
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 toe mobile home 5
that is not assessed as real properly or to a manufactured home that is not assessed as real property may
not ex one-half(12)of the assessed value of the mobile home or manufactured home.
S haprax of d: r • 1 Doe signed( -day Wed
s- 1
�s'
DISTRIBUTION:Original-Ccomy Auditor,Fie-Stamped Copy-Taxpayer