HomeMy WebLinkAboutHomestead_Stocker .' CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
ck._..`% STANDARD/SUPPLEMENTAL DEDUCTION FORM
qt:Gt State Form 5473(R15/5-14)
Prescribed by the Department of Local Government Fvance F
INSTRUCTIONS:See reverse side for filing instructions.
NOTE:Telephone,Social Security,driver's license,state identification and federal identification numbers are confidential u :er .1- -37. -.
CERTIFICATION STATEMNT' t`l• f1 -tm 1•
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I(We) `V-1 .- s.a 7 ,Af,1 " .i•!a AIri!.:?!• r• h-t I(we)occupied as my(our)principal
place of residence or am(are)buying the fdgowing described real property under contract for which a HomesteaMS(QpPe�rjy Tax tandard
Deduction is hereby claimed on the date this application is signed, (date of skj 3MJre9 I(Wa015
SAC.n. ❑ 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 pp st •
❑ Am (are)the shareholder, partner, or member of the entity that owns the property. GIBSON COUNTY AUDITOR
-.": .. __- . _`-
If buying on mnaa4 Fee Simple owners name
Recorder's oars where contrail is recorded I Record number I Page
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A
Y -i"_sr- PROPERTY DESCRIPTION_sV 7-"s;. - _e __K� -
County Township Taxing district(city,town,tosTesfup) —
Farrel nu.- Legal desuip;in I the e pro ," question: J
. lsr.3b_30�-fXDo`nd• ‘LT-oat
ear property ❑Annually assessed ma0ie dome(IC 6-1.14)
V any porn er of the residential=Cure or the land not exceed:mg one(1)acre that immediately surrounds that structure is used te podum income.desmbe the use and portion
of the property vd¢ed to produce momma.
I-4 /a" w a 1 a
&re,Couny,and Township • Is claimant vacating a homestead?
El Yes ❑ No•I hereby certify the above statements are true,correct,and complete.
Add ss ofmn'ad(number and Street,ax are,and ZIP code) Address of anted homestead nY(number and KreeLt=,state.end ZIP code)
ASSESSOR USE ONLY I ASSESSED VALUE JII HOMESTEAD VALUE I NON VALUE
Land not exceeding one(l)acre immediately I(1)
surrounding residential improvement
Other land (2) j
III Total land(final 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) (8) I
I hereby certify the above is true,correct. Signature of Assessor Date signed(month,day year)
and complete.
Verifying actin-Signature of And::or Date signed(month,day year)
•
=s, - _ air•,STANDARD DEDUCTIONALLOWANCES -....;:777,' __ ? a '"-:77
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 real property or to a manufactured home that is not assessed as real property may
not exceed one-half(12)of the a ssed value of the mobile home/or manufactured home. (�r�T(red aarr��
Sgnarre o. :tar e� Dar(J .-y,yea9,
DISTRIBUTION:Original-Couny Author,Fie-Stamped Copy-Taxpayer 11I 5