HomeMy WebLinkAboutHomestead_Gentry (2) CLAIM FOR HOMESTEAD PROPERTY TAX I YEAR
°a STANDARD I SUPPLEMENTAL DEDUCTION HCRM
�• Sate Form 5473(Rt5I 5-1a)
•� Presocced by re Department of Local Government France
INSTRUCTIONS:See reverse side for filing instructions.
NOTE:Telephone, a :I Security, license,state identification and federal identfication num•• are confidential under 6-1.1-3i
��/�����.-.� - . . , - CER?IFlCATIOM S..TE61ENf _ :_ _.._s _..,._.-
I(We) //�/%//.a if�I iL certify that I(we)occupied as . (our)principal
place of re : ence• am(are)buying the •1 owing de real•,•perty under contract for which a Homestead Pr!•y :-i�Mlha
Deduction is hereby claimed on the date this applicatio igned, (CatGlB �,�r e�,.
❑ Own. ❑ Am(are)buying under recorded contract. TY AUDITOR
❑ 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 personal residence trust.
❑ Am (are)the shareholder, partner, or ember of the entity that owns the property.
-
If buying on contras Fee Simple owner's name
Recorder's office where contract is recorded Record number Pace
-. + _ =PROPERTY DESCRIPTION T-S •.r`- -1"= .14 -�="'•--3 _'-=•=
Cdur . Township Ta �-trig,1 sbna)
Y' v
Pars.. tribe Le al desoipC•c/-L/' Is the pr ny n questen: et
y /3— �J // s Real prope y ❑ Arauafy assessed modle home(IC 5-r I-i)
It portion of m e residential structure or not exceeding one(1)acre thatetiirvvdiatey zerou, pat structure is used:o etduce income,oesCix Lx use and ponwn
of property tared to produce income 7
A-r'1/3- o J- ado. 07/5 --00.?
PROPERTY OWNED ELSEWHERE BY CLAIMANT
Sate,Carry,and TowmWp Is claimant vacating a homestead?
❑ Yes ❑ No
Signature of claimant 3 g N. E '<gT
I hereby certify the above statements are true,correct,and complete. �/J, � �� '-4 Q•� �(;— LAFmigar
Address of mrc c(number and street,o4r state,and ZIPcone) Address of vacated h a. stead.is any(number and streeet, M.date,and ZIPcode) f
.+77 eQ
)oaj 6 Pc.4-KS•T- RANck-I lNI 17f16h•FQ t
Land not exceeding one(1)acre immediately (1) I I
surrounding residential Improvements
Other land (2) _ _. - _ _. .I
Total land(line I plus line 2) (3) I
Residential improvements or Dwelling (4) I - '
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) (5)
I hereby certify the above is true,correct, I Signature of Assessor I Data signed_(mon:b.day year)
and complete. If
V Sing soon-Signature of Auditor Date signed(month,day,year)
20 pay 20 Lesser of 60%of the assessed value of the homestead or 545,000 r- ..✓
Notwithstanding 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 property or to a manufactured home that is not assessed as real property may AUG 1 '1 2015
not exceed one-hall(1/2)of the assessed value of the mobile home or manufactured home.
Signature of Auditor Date signed(month.day,year)
DISTRIBUTION: Ong:nal-county Andion Fie-Stamped copy-Ta:payer GIBSON COUNTY AUDITOR