HomeMy WebLinkAboutHomestead_Mundy ` _ CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
STANDARD/SUPPLEMENTAL DEDUCTION
Stare Fann 5473(81515-14) Het 0
l• Pnsmbed by t e Depabnent of Local Gover._:ant Finance
INSTRUCTIONS:See reverse side for f5ng indruUions j I I I
NOTE:Telephone,Social Security,diner's license,state identification and federal identification numbers are confidential under IC 6-I.i 37.1 I, j
,:. '' rcl:'1�_,.' ,. • f�`CERTIFICATION STATEMENTS:,7 r T° - .J C. t:h,,,,,,a'
I Me) .D_//C�/L_ �I i. L _ certify that I(we)occupied as my(our)principal
place of residence or am(are)buying the following described r-j,f•roperty under contract for which a Homestead Property tarrd2 1C
D 'on is hereby claimed on the date this application is sign-•, (date of signature). I e):° I O
Own. ❑ Am(are)buying under recorded contract
❑ Am (are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation. , .
Terns.
❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified per^ �
g� d- ii- ,
❑ Am (are)the shareholder, partner, or member of the entity that owns the property. •UDITOR
'
If buying on contact,Fee Simple owner's name '
Recorder's o'Sa where an5ad is recanted - Record number Page
reap 'ri�' rc °21Z& PROP.ERTyDESCRIP,TIOKE;17An '�4? •1;;_ ti
• nn/Y'//�
Township Taag e.- town Iwnsh�)
/PanSrnumMS Legal description Is the perl..l
Real property ❑Annually assessed moble home(IC 6-1.1-7)
n on of the residerfml sdudwe or the land not exeeedog are(1)acre that immediately s that=flue is used to produce income,descibe the use and portion
■ of c ty utilized to produce thane.
• 0,96-/07-62 a7o 3-"061. o - dc72 2
.. .. . - - -
- . , PROPERTY OWNED ELSEWHERE BY CLAIMANT_.• , ,_ 771_.-
Ora,Casey.and Towmdtp Is Claimant vacating a homestead?
❑ Yes ❑ No
d da4ram
I hereby certify the above statements are true,correct,and complete. i' .l - I/ , �(
.r./ ' L
x Address dramas lunar on sued,cry,date.and ZIP code) �= - amC LPmde)
/ .- Ti' / a `' /
.
. ASSESSOR USE ONLY ` ASSESSED VALUE. 'I HOMESTEAD VALUE ; NON yE�SUENTAL '
Land not exceeding one(1)acre immediately I(1) z, _ -
surrounding residential improvements _. _ ._44_,.._
Other land (2)
Total land(line I plus line 2) (3) - . /
Residential Improvements or Dwelling (4) a,./F/.gt A. i _j' — " --t..,;-• 1- .
Annually Assessed Mobile I
Manufactured Home Garage (5) 4 .1
Other improvements (6)
Total improvements(line 4 through fine 6) (7)
Total value (line 3 phs line 7) I(6)
I hereby certify the above Is true,correct, I Signature of Assessor Date signed(month.day,yeas)
and complete.
Vedyig adjust-Signsture of Audta Date signed(month,day,year)
°NMe,-_R a •- r= i.rz. STANDARU DEDUCTONALLOWANCEN,M
20 pay 20 Lesser of 60%of the assessed eaue of the homestead or$45,000
Notvdthstanding any other provision,the sum of the deductions provided in IC 6-1.1-12 to a mobile home $
Nat is not assessed as reel property or to a manufactured home that is not assessed as real property may
not exceed one-half(1/2)ofthe assessed value of the mobile home ormanutadured home.
Sgnatve of Au6ar Date signed(math,day,yeas)
DISTRIBUTION:Offal-Carey A:cie.FleSamped Copy-Taxpayer