HomeMy WebLinkAboutHomestead_Jennings CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
FORM
STANDARD/SUPPLEMENTAL DEDUCTION
Sate Form 5413(R15 I5-14)
•• Presmlgd by the Deparment of Local Gmvenvnent Fiance
INSTRUCTIONS:See reverse side for filing instructions.
NOTE:Telephone,Social Security,drivers license,state identification and federal identification numbers are confidential under IC 6-1.1-12-37.
I(We) certify that I(we)occupied as my(our)principal
place o residence or am(are)b i the following de bed real property under contract for which a Homestead Property Tax Standard
Deduction is hereby Claimed on the date this application s 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 tying on contact,Fee Singe owner's name
•
Recorders o3ce where rntrad is recorded Record number I Page
•t.— _ «:5_PROPERTY,,DESCRIPTION_$-i.„r _�.ri �•-3 `TM: I
Cagy Township Taring distict(dry,Assn to.nship)
P '�ypI n umbe r Legal de scrioa on Is the property n question'
I.I V- 1 M s D D y e� . ^ ' ❑Real property
❑ Annually assessed mobile Mme(IC 6-L 1-7)
nypoison of the residential endure or the ad not exceeding
(1)acre that immediately turrounds that structure is used to produce income.describe lye use and portion
of the property uttised to produce income.
•
PROPERTY OWNED ELSEWHERE BY CLAIMANT
State.County.and Township Is Claimant vacating a homestead?
❑ Yes ❑ No
-- Signature of caiman -
I hereby certify the above statements are true,correct,and complete.
Address of contact(number end stases.afy,state.end ZIP code) d ss o vacated teed,C any(number and street,city '.a. ZIP code)Atrin
�aCte 3. 3FsOsJ . e-.vn�
Land not exceeding one(1)acre Immediately I(1)
surrounding residential Improvements
Other land I(2)
Total land(line 1 plus line 2) I(3) I
Residential improvements or • Dwelling I(4)
Annually Assessed Mobile I
Manufactured Home Garage (5)
Other improvements (6)
Total Improvements(line 4 through line 6) (7)
Total value (line 3 Mrs line?) (8)
I hereby certify the above is true,correct, Signature of Assessor Gate signed p,norm,day,yea)
and complete.
Verifying action-Signature of Auditor Data signed(month,day,year)
x =`STANDARD DEDUCTION ALLOWANCE
20 pay 20 Lesser of 60%of the assessed value of the homestead or$45,000
Notwithstanding an other provision,the sum of the deductions provided in IC 6-1.1-12 to a mobile home $
that is not assess as real property or to a manufactured home that is not assessed as real property may
not exceed one-h (I/2 of the assessed value of the mobile home or manufactured home.
Sg^„—oIAuditor n DaSaned(m�J`m/,r^.d1ayyead
DISTRIBUTION: Original-CounyAudi:or.FfleSamped Copy-Taxpayer