HomeMy WebLinkAboutHomestead_Purdue CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
:A``1.= STANDARD I SUPPLEMENTAL DEDUCTION FORM
State Form 5473(R15/5-14)
'' Prescribed by:a Department of Loral Government Finance
INSTRUCTIONS:See reverse side for filing instructions.
NOTE:Telephone,Social Security,drivers license,state identification and federal identification numbers am confidential under IC 6-1.1-12-37.
I(We) certify that I(we)occupied as m o I
place of re 'dente or am eying the following describ al property under contract for which a� ��11t ope a St, —
Deduction is hereby daim on the date this application is signed, _ ( off g tare. )•
❑ Own. ❑ Am(are)buying under recorded contract. 1'
❑ Am (are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation. [C q❑❑����
❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified j iirrZMkatrust
❑ Am (are)the shareholder, partner, or member of the entity that owns the property.
/_
r .f '^•< .---- -_- .- -.- ua;`-7.CONTRACT RECORDED -,--<. -3i__.: ._:"4'L. .`" is:Mt:- _.`_,Ma.i`-
If bung• 2/1;1- ee smile owrers rer
Recorder's of5re where contract is recorded ` Record number Page
_ _ s_ laoy
_ .- .i ..._. __ 9.3. -_...a _- cRROPERTY DESCRIPTIONri..._.. .7.•:4 s ',yg_--- _ ‘7.
County I Township Taxing desoic(city,tom{townshq)
ifarts number I legal desolation Is the properly in question:
6..14-18 -303-nib0.459•CY:n I ❑Real property ❑ annual),assessed mobae home(/C 6-1.1-7)
If any po.^.ion of the residential structure or the land not exceeding one(I)ace that immediately surrounds that stnnure is used to produce income,describe the use and pones
of the paperty u'W¢ed to produce income.
. PROPERTY OWNED ELSEWHERE BY CLAIMANT '
State,Canty,and Township Is daimant vacating a homestead?
❑ Yes ❑ No
Signature of am
I hereby certify the above statements are true,correct,and complete.
/ M
PGNlss of cMact(number and street.city,state,end ZIP code) m . -olv red homestead...any(number Yawl,ay,stele,and ZIP Cool
3GJThcz &#rn- 0 - . . i
ASSESSOR USE ONLY I ASSESSED VALUE I HOMESTEAD VALUE I NON-RESIDENTIAL
VALU
Land not exceeding one(1)acre Immediately I(1)
surrounding residential improvements
Other land I(2) I
Total land(line I plus line 2) 1(3) I
Residential improvements or Dwelling (4)
Annually Assessed Mobile I
Manufactured Home Garage (5)
Other improvements (6)
Total improvements(line a 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(month,day,year)
and complete.
Venfyvg apron-Signature of Auditor Date signed(month,day,year)
e Y ': .— . _-•7C t'. —°STANDARD DEDUCTION ALLOWANCE ,-, ., •=t'.-.°ter.- w ".
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 6-1.1-12 to a mobile home S
that is not assessed as mat property or to a manufactured home that is not assessed as real property may
not exceed e-ha the ease value of the mobile home or manufactured home-
Signaoae of Dare sinned Irs :h,day,year)
6- m/S-is-
DISTRIBUTION:Original-Gouty Attd'ior,Fie-tramped Copy-Taxpayer