HomeMy WebLinkAboutHomestead_Floyd k/" �' CLAIM FOR HOMESTEAD PROPERTY TAX 1 YEAR
L! 1 STANDARD/SUPPLEMENTAL DEDUCTION FORM
State Font 5473(RIO!10-15) HC 10
•+1!041/• Prescribed by the Department of Local Government Fans.
INSTRUCTIONS:See reverse side for filing instructns.
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NOTE:Telephone,Social Security,drivers icense,state ident5cation and federal ideas(ration numbers are confidential under IC 5-1.1-12-31
I(We) ?14 csy/,— F(e/ �trs6 9�e,�� certify that I(we)occupied as my(our)principal
place of residence or am(are)buying t e f owing described real property under contract for which a Homestead Property Tax Standard
Deduction is hereby claimed on the date this application is signed. 3 e-..a-c..e-e, k Lo/6 (date of signature). I(We):
R Own. ❑ Am(are)buying under recorded contract
❑ Am(are) entitled to occupy as a tenant-stockholder of a cooperative housing corporation.
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❑ Have a beneficial interest in the trust or the right to occupy the properly under the terms of a qualified personal residence trust.
ID Am(are) the shareholder, partner,or member of the entity that owns the property. I
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IRemtsboGeMere contract is recorded I Record number I Page
County /' TIemosNp Taxing dst,ct(coy,Caen,forts°ip)
17 t 17S ax, I (^ -1-oe C)vvt.2.-✓/ I O W 4-c-t SV✓kl`-r!
Parcelnu.:ber Legal descNpn 1 Is the
Insert?Of P_esion
,....4-17'/7' 3"9 4 2_. _.2/ rf t✓cp u/7 312 a.is 2Zeal Property ❑Annually assessed=sae home(IC 64.141
It any portion of the residential snctsre or the Ian not ezaedng one(1)acre that 4mgeately surrounds that structure is used to produce income,desalts the use and mrton
of Use peopery utIDaed a product icame,
':4 ar5.:-:id`gOt:A i Yig(IMPISIFs1152:1A/.?✓IPROPERTYOWN
ED ELSEWHERE BYCIAIMANTi?'%_:f'S;'4c:3Tr:±.1)".:2j.j.!•(_:<Y4"-t'rCS+iF
Date,County.and Toveshp Is claimant vacating a homestead?
A.',./4 ❑ Yes ❑ No
Signature of claimant i
I hereby certify the above statements are we,correct,and complete.
5otess of contact Number and street cry,date,and VP code) Address of vacated homestead,if any(number and street,any stale,and ZIP code)
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si a Yu-�I155ESSORUSEONLY i yet ;Yei k ASSESSED VALUE 1 I04.116MESTEAOVALUE-• I ,- NON-RESIDENTIAL • `i •Land notexceeding tae(I)acre immediately I(I) I surr rountlin•reside ntiallm•rovemeats 'p ;Jr• inlet''-ri-•
Other land (2) ,n;.�wiat%
Total land(line 1 plus line 2) I(3) I
Residential Improvements or Dwelling 1(4) I a fl
Annually Assessed Mobile I I ,._-E•},•r i t t -Lane
Manufactured Home Garage (5) ti su Ong-
-'1..3Sf -. ;ter.-.
Total improvements(line 4 through line 6) 117)
CIDSONICOUNTY AUDITOR
Total value (line 3phs line 7) I(8)
I hereby certify the above is true,correct 15igrature of Assessor I Date signed(mare,day,year) •
and complete.
I V&d(vg action-Signature ofAUdaow Date signed Unwed day year)
3 -„(I;,; sso 'Ca .ir..ri itf f2"1:1 -:_ . STANDARD DEDUCTION ALLOWANCE.2f ,s ._.__. ,e#: ti,gti.
20 pay 20 Lesser of 60%of the assessed value of the homestead or 345,000
Notwithstanding any oterpmvisitn,the sum of the deductions provided in IC 6-1.1-12 to a mobile home $
that is not assessed as real property or •a manufactured home that is not assessed as real property may
not exceed one-half(12)of the asses-la value of the mobile home or m.anufactured home.
synatuo-` dimr - • 1 • �� Date n_d(' a-y.year)
DISTRIBUTION:Ongaat-Crony Auditor,Fie-Stamped Copy-Tatyayer