HomeMy WebLinkAboutHomestead_Dillon ' CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
�_ - L STANDARD!SUPPLEMENTAL DEDUCTION
State Form 6473(RIS I S14) HC10
w ; Prescribed by the Department of Local Govenvnent Finance
INSTRUCTIONS:See reverse side for filing instructions.
NOTE:Telephone,Social Secunty,driver's license,state identification and federal identification numbers are confidential under IC 61.1-12-37
- CERTIFICATION STATEMENT - .-.
�)� •� � ! cPr:► FSK.I' - 'TION
I(We)
following described r:a property under contract fo i ...IN:' .pfalrlsedf el transfer
Deduob - ereby claimed on the date this application is signed, ( too! !.y.Y 1 e): - __
/ i' a
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 4 a,' L' a�"tAence trust Auditor
❑ Am (are)the shareholder, partner, or member of the entity that owns the property.
�f �. cord Gib on County
If buying on contract,Fee Si-pi owners name
Recorder's office where contract is recorded Record number 1 Page
', - .. _ '- ._•. ..'PROPERTYDESCRIPTION if7,1 r _ >-t _ .. - —
County Township Taxing district(oty,town,toanshp)
ascot Legal description /� /�e� Is the property in question:
�-antic
. O6-yon .op y 331,.(Q f ❑Real property ❑ Annually assessed mottle borne(IC 64.1-7)
If any portion of the residential structure or the land not exceedre one(1)acre that itaaedlatety surrounds that structure O used to produce income,describe the use and portion
of the property traced to produce&Karp.
PROPERTY OWNED ELSEWHERE BY CLAIMANT
SSte,Canny,and Township Is claimant vacating a homestead?
❑ Yes ❑ No
& of daivv
I hereby certify the above statements are true,correct,and complete.
Address of intact(number and.greet raft state,and ZIP ode) I Address of vacated homestead,d e (number and street ant Me)
• 6 - L� •
ASSESSOR USE ONLY I ASSESSED VALUE HOMESTEAD VALUE I NON-RESIDENTIAL
Land not exceeding one(i)acre Immediately I(t)
surrounding residential improvements
Other land I(2)
Total land(line I plus line 2) I(3) •
Residential improvements or Dwelling (5) ,1�O FOR Z�(
Annual Assessed Mobile I t; 1 EN,bREO f ATION
Manufactured Home Garage
Other Improvements (6) /Cc(to Flndl acceptance for transfer
�.1 a
Total improvements(line 4 through line 6) (T) _-
Total value (line 3 plus line?) (6) � '/
Signature of Assessor iII�rmiii Pr $r'r I•daY'yea0 editor
I hereby certify the above Is true,correct, 1 ��
and complete.
vadyvg action-sgna:ure or Aandaor GIBSON COO r _ _ m.day,read 1i CoUDfy
L-7 _.:.Y,a -_ - Y-'" STANDARD DEDUCTION ALLOWANCE_i N Z i- _ _ a <.
20 _pay 20 Lesser of 60%of the assessed value of the homestead or 545.000
Nol-aithstanding any other provision,the sum of the deductions provided in IC 6-1.1-12 to a mobile home 5
that is not assessed as real properly or to a manufactured home that is not assessed as real property may
not ex ne-half(12)of the assessed value of the mobile home or manufactured home.
Signature of 1,\i • a - Date signed(moan,day.year)
DISTRIBUTION: Original-Canny Auditor.Fii/eeSaammpepedd copY'^y-T•►a^9a`yyer