HomeMy WebLinkAboutHomestead_Abuthnot CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
`' STANDARD/SUPPLEMENTAL DEDUCTION FORM -
:_� State Form 5473 R15/5-14) HCID
Prescribed by the Department of Loral Government Finance
INSTRUCTIONS:See reverse side for filing instructions
NOTE:Telephone,Social Seaiety,drivels license,state identification and federal identification numbers are••„)'+" • - 6-1 - 7
• "st t- . . . -1 7. �CERRTIFI�CATION STATEMENT- �:--tl F) 1 f`-
•I(We) At / 4./�! ' 9' aSL�„'i�rLUitll - .Fi sit•-rtify, - (w '. (. Wdpal
place of r--idence or am(are)buying the following.escribed real property under contract for which a Homestead Property Tax Standard
Deduction is hereby claimed on the date this applicetion is signed, ? l t gU a.ti CU (We):
❑ 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 ence trust _
❑ Am (are)the shareholder, partner, or member of the entity that owns the property. GIBSON CO L •
L'buyidg =tract Fee Simple vwrers name
Recorders tea where cert.=is recorded - Record number Page
� , "Ftst'tip`Fizr s*'.sip'-r'A ay' AiPROPERTY;0EGORIP.11051 s'°, :?er$ .3.3..3.
Casey Township Taxing dstict(ofy,town. • :)
Parcel number legal dessaip000�nll 1 3 C Is the pr e try t•
I /
- _ - 51.0 3/ -o p-1 / ❑Real property ❑ Annually" -•amble home(IC 61.1-7)
ff any la+w,of the resider al - ae n the land not exceeda,g ore(1)we that imxda:ery surrounds that sTCSe is used to produce irczme,desaibe the use and portion
of the properly faced to produce ban.
- .3/ - 3D° - OOot 3/ "/- oP2-/
• - ,
PROPERTY OWNED ELSEWHERE BY CLAIMANT
Stara.Casty..and TON:Sip Is claimant vacating a homestead?
❑ Yes ❑ No
—
ignatire of Ga'rant
I hereby certify the above statements are true,correct,and compl`et // ��d
ta
nets of contact(number and smet,sty,star and ZIP code) C/WCPi \A\%I of vacated sad,E arty(numbersdstieet.ray.state,and ZIP code)
a5- W. s+aihelw hvenve 47u(DS
' ASSESSOR USE ONLY' �I . ASSESSED VALUE HOMESTEADVALUE } ' -'NON-RESIDENTUIL
•
VALUE
Land not exceeding one(1)acre Immediately
surrounding residential Improvements (1) S"_"14.:1
Other land (2)
Total land(line 1 plus line 2) (1)
Residential improvements or Dwelling (4) "_''�'r '2171/4-3 ••
Annually Assessed Mobile l 1t"_ "w -
Manufactured Home Garage (5)
Other improvements (6) ,
•
Total improvements(line 4 through line 6) (7)
Total value (line 3 pits line 7) (6)
I hereby certify the above is true,correct, I signature of Assessor Date signed(Mont,day,year)
and complete.
Veryig ation-Signature of Audtor Data signed(month,day,year)
'r `; ��' s -„ -•;- `- '- `—•"P-a' TANDARD�DEDUCTION'ALLOWANCE` 'y/s - !-=ti
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 $
that is not assessed as real property or to a manufactured home that is not assessed as real property may
not exceed one-hall(1/2)of the assessed value W the mobile home or manufactured home.
Signature of Auddor _ /N/D//J�/ Dina signed(math,day.H
t ,)1 - M
DISTRIBUTION:Odgmal-county Atd:tp.Fie-S'amped copy-Taxpayer