HomeMy WebLinkAboutHomestead_Ward (4) .a CLAIM FOR HOMESTEAD PROPERTY TAX FORM I YEAR
F _• STANDARD/SUPPLEMENTAL DEDUCTION OR
Sa Form te Fo 5473(R15/55-14)
Prescribed by Me Department of Local Government France -
INSTRUCTIONS:See reverse side for filing instructions.
NOTE:Telephone,Social Security,drivers license,state identification and federal identification numbers are confidential unde 1. 2-
I(true) certify that I(we)occupied as my our n
place of resid ce or am(are buying the following described real property under contract for which a Homestead Property Tax Standard
Deduction is hereby claimed on the date this application is signed, (dale of signi 'Pt 2015
❑ Own. ❑ 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 pers•I r.== =1S rgj,
❑ Am(are)the shareholder, partner, or member of the entity that owns the property. GIBSON COUNTY AUDITOR
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If buying on conoaa,Fee Simple ownefs name _
Recordees otfce where contract is recorded Record number I Page
.T 2--S4722-5,"--.,__ ,, _ =-2 PROPERTY DESCRIPTION__ -: aA. = I_, r __.
County Township, Taxing lei(dty,town,Atownship)
Parcel number Legal description Is th in�:
❑Real property ❑Annually assessed mobile home(IC 61.1-7)
If any pc—bon of the residential structure or the Ian not exceeds";one(1)acre that immediately surrounds t hat smicnire 6 used to produce income,oesobe the use and porten
of the papery bat ed to produce isarre.
02 Co .05 - 33 — 3oo _ 003 . 88/ - o x7
PROPERTY OWNED ELSEWHERE BY CLAIMANT
Sae,Ceumy,and Township Is claimant vacating a homestead?
❑ Yes ❑ No
I hereby certify the above statements are true,correct,and complete. 1 ,e,
Address of contact(number and Mreel.(sty,Mate,and ZIP code) Address of vacated homestead.If any(number and.Crest.My,Mate,and ZIP code)
VI 1 / < 2D62 N.LA .TyCLS Ps pi'-T�ri) ),.i 97'.7'
�!" ASSESSOR USE ONLY I ASSESSED VALUE I HOMESTEAD VALUE I NONRESISIDENTIAL
VUE
Land not exceeding one(1)acre Immediately I(1)
surroundinq residential improvements
Other land (2)
Total land(line 1 plus line 2) (3)
Residential Improvements or Dwelling (a)
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) (6)
I hereby certify the above is true,correct. Signature of Assessor Dare signed(nmN,day,year)
and complete.
Venlyi g scion-Signature of Added& Date signed(mad,day,year)
-=,es. M -3 - -ea; r STANDARD DEDUCTION ALLOWANCE:" :;,. y:4 .�!^ _^ = _ _ va
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 assessed vvalve of the mobile home or manufactured home.
' oflJ re �:or Dye signed 4...,r).der.rear)
DISTRIBUTION:Original•County Asitor,FeeS`amped Copy-Taxpayer