HomeMy WebLinkAboutHomestead_Denton (2) " CLAIM FOR HOMESTEAD PROPERTY TAX FORM I YEAR
STANDARD I SUPPLEMENTAL DEDUCTION
• State Form 5473(R15/5-14) HC70
• � Prescribed by the Department of Local Government Finance yyyvvv
INSTRUCTIONS:See reverse side for filing instructions.
NOTE:Telephone,Social Security,driver's license,state identification and federal identification numbers are confidential un C 6-1 121:7. •
(,.a CERTIFICATION STATENL-NI n. - . . - - -, - ,• _ .
I(We) rirate 11 li"t II FA Iy�I -.if that I(we)occupied N$ ny uq1 pryicyRal
place of residence or am(are)buying the following d; i•ed real property under contract for which a Homestead Pr`o'perty a*SFnhrdald
Deduction is hereby claimed on the date this applica,--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. GIBS (1'IAlTv
❑ Have a beneficial interest in the trust or the right to ••npy the property under the terms of a qualified persona r .,..... , OR
❑ Am (are)the shareholder, partner, or member of the entity that owns the property.
_ - ..'• • _ ".
Recorders office where contract is recorded Record number Page
--::=t/,F. ,+4 . :_' ... . :. -' :_?'PROPERTY DESCRIP770N61,LtEa�^', . -.}y`:-? -<i.r -.
Can:, V Township Tang der (ov trig tamable)
_--.-- .�
4 *CO
-arc&number�y] �/,� Legal description Is the property in guestiprn
-%.sue 3 4tD // 1 �7J I N 1)Real property ❑ Annually assessed noble home(IC 6-1.7-n
If any portion of the residential srtvue or the land not exceeding g one(1)we that immediately surrounds that srudare is used to produce income,describe the use and portion
of the property uabed to produce mane.
PROPERTY OWNED ELSEWHERE BY CLAIMANT
State,Couny,and Township Is claimant vacating a homestead?
b Yes 0 No
Signature of--un--a
Y�
I hereby certify the above statements are true,correct,and complete. sti
a/ "1
(Address of=rad(number and areal.out state,and LP code) - of va �•+s'-read,d any(number aM$seef.my,•- and LPrad.)
/3/St itt .' 7 (o I PD t,
ASSESSOR USE ONLY I ASSESSED VALUE i , HOMESTEAD VALUE I NON VESIULL
SIDENT
Land not exceeding one(1)acre Immediately I(1)
surrounding residential Improvements
Other land 1(2)
Total land(line 1 plus line 2) I(3) I
Residential improvements or Dwelling (4)
Annually Assessed Mobile I
Manufactured Home Garage (5)
Other improvements (6)
Total improvements(line 4 through line 6) (7) I
I
Total value (line 3 plus line 7) (8)
1 hereby certify the above is true,correct.
Signature of Assessor �Da:e h,C year)
and complete. 11�� pp l IIIIII555 •J
VaCyvg action-Signature otNN.;or Date signed(north,day,year)
JUL 2 1 �m5
20 pay 20 Lesser of 60%of the assessed value of the homestead or-645,000
Notwithstanding any other provision,the sum of the deductions provided in IC 5-1.1-12 to a mobile hg9Q�r��,,�� 9" " -
thatisno assessed as real property or to a manufactured home that is not assessed as real propertplltgSON COUNTY AUDITOR
not ex one-hallf�(1R)of the assessed value of the noble home or manufactured home,
SgnXUre e�`�'tL)x r L Date signed day,year)
44—LS
DISTRIBUTION:Original-County Auditor,Fie-Tamped Copy-TaxpaYer