Homestead_Speicher CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
-Mil: M
l: STANDARD/SUPPLEMENTAL DEDUCTION FORM
State Foam 5473(R15 15-14)
- Prescribed by the Department at Local Goverment France
INSTRUCTIONS:See reverse side for filing instructions.
NOTE:Telephone,Social Security,drivel's license,state identification and federal identification numbers are confidential under IC 6-1.1-12-37.
date this application is signed, (dat sig to . 1 ):
OCbwit ❑ Am(are)buying under recorded contract.
❑ Am (are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation. - MAY 12 t mr�
❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified personal re n t.
❑ Am (are)the shareholder, partner, or member of the entity that owns the property.
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It buying co Gaited.Fee Simple owner's name
Reader's of5ce where contract is receded Record number Page
-'rr C . . d=c,',_S p-'..-7i ._.l�.PROPERre.DESORIP.TION:i: ..c.:=3.',r J,. t i.,s =-
Gary Township Tau ay,town.texas*)
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Parcel number Legal desaip:ion Ile property in question:e
I property ❑ Annually assessed motile borne(IC 61.1-rr
If any Paton of the residential structure or the land not eaceedig one(1)acre that immediately surrounds that structure is used to produce income,describe the use and potion
of the property utilized to produce income.
alp -a0- 3 3 -2/oo Doi. 9 416 /
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PROPERTY OWNED ELSEWHERE BY CLAIMANT
Sam,County,and Township Is claimant vacating a homestead?
0 Yes 0 No
Sgw:ure of dainarc
I hereby certify the above statements are true,correct,and complete. /ICS-.,x'.tl
Address of contact(number end street ay.Vete,end ZIP code) I Address of vacated honesiaad.d any(nu. and Vree& .start end ZIP code)
X oiG? So ELBCX-CeL4 2 r. -? /
Land not exceeding one(1)acre Immediately (1)
surrounding residential improvements
Other land (2)
Total land(line I plus line 2) (3)
Residential Improvements or Dwelling (4)
Annually Assessed Mobile I
Manufactured Home Garage (5)
Other improvements (6)
Total improvements(line 4 through line 6) (7)
Total value (line 3 plus line 7) (6)
I hereby certify the above is true,correct Signature of Assessor Date signed(month,day year)
and complete.
'Verifying action-Signature of Audtor Date signed(month,day.year)
F-Cf-} _v , ^r-y' STANDARD.DEDUCTIONALLOWANCE-,vv 2.T rkar- ' _ -
20 pay 20 Lesser of 60%of the assessed value of the homestead or$45,000
Notwithstanding any other provision,the sum of the deductions provided in IC 6-14-12 to a mobile borne $
that is not assessed as real property or to a manufactured home that is not assessed as real property may
not exceed one-half(1i2)of the assessed value of the mobile home or manufactured home.
Sgna• Date sig (ratio aY. en
DISTRIBUTION: Original-county Auditor,Fie-Stamped Copy-Taxpayer