HomeMy WebLinkAboutHomestead_Parker -- , - CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
STANDARD/SUPPLEMENTAL DEDUCTION FORM
• Cf-s State Fonn 5473(R15/5-14) HOW .
Presented by the Department of Local Government Faience
INSTRUCTIONS:See reverse side for filing instructions.
NOTE:Telephone,Social Security,driver's license,state identdicalion and federal identification numbers am confidential under IC 6- - -37.
- 7-,e"-Ti.,;--. "CERTIFICATION STATEMENT - 41-7'.- , r 'y�' t--IT-S.j.�l_9)f
te„.I(We) -% 1�! J certify that I(we) • pi - • • �-dpal
place of residence or am(are)buying the following descri._•real property under contract for which a Homestead Property Tax Standard
Deduction is hereby claimed on the date this application is signed, _ (date ofsiQr>�(t(re)N flfM O�s
Own. ❑ Am(are)buying under recorded contract. IV)Hl 6 V
❑ 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 pe 1 ---- -TRi
❑ Am(are)the shareholder, partner,or member of the entity that owns the property. L • wry AUDITOR
'.- . .
'
tIf buying on com2ct Fee Simple owre's name
Recorders oL ce where comae is recorded - Record number Page
1. -. :_9 '_z",5 R,y'". 1 PROPERTY;DESCRipTON_Z' sly _•;i
County Township I Tame•d5a,(city,town, mmatt)
Pdrrd..ter Legal desaip:kn Is the pmpertY in PRS'iort
rah property ❑Annuaay assessed motae none(IC 6-Li-7)
If any portion of the residential muCUa or the land not exneedig one(1)acre that"unmedatey nurou that encore is used to produce vrome,deactbe the use and portion
of the property uiSed to produce thoo e.
24,- 041—a5 —I01 - ow o&t•o 0 a
• -r PROPERTY OWNEDELSEWHEREBY-CLAIMANT .'. - •'+;,1_ _
Ste,Court.and Township Is claimant vacating a homestead?
❑ Yes ❑ No
--
,.Ire of claimant Z
I hereby certify the above statements are we,correct,and complete. r;( A 0C� `-_'/�_!
Address of contact(render end meet cry,slate,and ZIP code) Address of vacated homexestead.if any(number and street any,rate,end ZiPwde)
'a / b
'NON-RESIDENTIAL ..
. 'ASSESSOR USE ONLY .. - I , ASSESSED VALUE 'I r' HOMESTEAD VALUE., : •yALUE
Land not exceeding one(1)acre Immediately (t) ".
surrounding residential improvement ' -
Other land (2) `_. .•• .t
Total land(line f plus line 2) (3) - I.• - _ - -
Residential Improvements or Dwelling (4) I '-Flt't 'C -i
Annually Assessed Mobley
Manufactured Home Garage I(5) I
Other Improvements (6) •'a_• �, ____.
Total improvements(line 4 through line 6) (7)
Total value (line 3 plrs line 7) I(8)
I hereby certify the above is true,correct, I Signature of Assessor Date signed(Ara day,year)
and complete.
Verifying adorn-Signature of Audtor Date signed(month,day,year)
'ii` t_�- ant 3--R' .- 'g<�_STANDARD DEDUCTION'AL:OWANCE Sells - �y-:�-- �-' - 0
20 pay 20 Lesser of 60%of the assessed value of the homestead or$45,000
Notwfthsiandi g any otherprovigon,the sum of the deductions provided in IC 6-1.1-12 toe 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-half(12)of the assessed value o/Hre mobile home wAm -'.allured home.
Sgnsae ol1- • �� L/ -02 day, b
DISTRIBUTION:Original-County Atata Fie-Stamped Copy-Taxpayer