HomeMy WebLinkAboutHomestead_Townsend (2) a. y^ CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
\ STANDARD/SUPPLEMENTAL DEDUCTION FORM
State Form 5473(R15/5-14)
\ sue Presmbed by the Department of Local Govemmert Finance
INSTRUCTIONS:See reverse side for filing instructions. 1,\r
NOTE:Telephone,Social Security,,driver's license,state identification and federal identification numbers are confidential u •er IC 1-11 2-3 .
� CERTIFICADON STATEMENT ' -
I(We) _ -t�7L2ll��f!t� T t " T fy that I(we)occup&4144 rq(our pal
place of residence or am(are)buying the ollowing described real property under contract for which a Homestead Prope`ty Ta�ard
Deduction is hereby claimed on the date this application is signed, (date of signature). I(We):
❑ Am(are)buying under recorded contract. I.a Wir/71#11
Am(are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation. GIRsdOmarnum.rx,c�i111�
CirZwn
Have a beneficial interest in the trust or the right to occupy the property under the terms of a qua I to pe n e IT D R
❑ Am(are)the shareholder, partner, or member of the entity that owns the property.
` -�- - - - - - ...
—T•a _i,'2_ _,.' " _'CONTRACT,RECORDED'A ' . _ _ _ L --,_
If buying on contract,Fee Simple owner's name
Recorder's office where contract is recorded Record number 1 Page
f`=' ?". _ ...__3:1c__: +..-St PROPERTY DESCRIPTION& ^` 7--(: -X.' - _...� .tt
Cowry J Township Taxing*said(ray.lawn.ruwnih*,) _
Parcel number Legal desorption Is the property in question:
24-)2-o6-4oa-o D 4. 35?-0a 8 Real Property ❑ Annually assessed mottle home(/C 6-1.1-7)
If any portion of the residential saudure or the and not exceeding one(1)acre that immediately surround that sWCure is used to produce income,desalte the use and portion
of ace property totted to produce income.
PROPERTY OWNED ELSEWHERE BY CLAIMANT
Stab.County,and Township Is claimant vacating a homestead?
❑ Yes ❑ No
Signature of dainam
I hereby certify the above statements are true,correct,and complete. ��
.4 t„S,,
Address of contact(number and street.coy,state,and ZIP code) 'tad- of vacated bonefteaC . e
o .: r r n -,I TA/ V76Na
ASSESSOR USE ONLY I ASSESSED VALUE I HOMESTEAD VALUE I NON-RESIDENTIAL
VALUE
Land not exceeding one(1)acre immediately
surrounding residential Improvements I(1)
Other land (2)
Total land(line 1 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 pits line 7) (6)
thereby certify the above is W e,correct. Signature of Assessor Date signed(nnna day.year)
and complete.
Verifying adios-Signature of Auditor Date signed(month,day,year)
a_.7_ 4-'.r._ -__ =STANDARD,DEDUOTIONALLOWANCEf4 __- - -� _;.( . ,1
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 $
that is not assessed as real property or to a manufactured home that is not assessed as real property may
not exceed one-half 02)of the assessed value of the noble home or manufactured home.
Signature of Auditor Date signed(Writ day,
DISTRIBUTION:Onginal-County Auditor,Fie-&ed Copy-Taxpayer