Homestead_Spindler (14) • . • • rte - CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
a"-Ji STANDARD/SUPPLEMENTAL DEDUCTION FORM
State Fonn 5473(8151614) HC10
Prescribed by the Deparenent of Local Goverment Finance
INSTRUCTIONS:See reverse side for frig lnstrudirns.
NOTE:Telephone,Social Security,driver's license,state identification and federal identification numbers are confidential under IC 6-1.1-12-37.
"f— _ -- 's ? CERTIFIJA71ON STATEMEld' _ _ "177` .i `- rrTh, +'.=-r
I(We)il�%//r' -/I/n7 •. I/ o_-��// r y1�/ t ly •u! p nd12;
place of r i•-nce or am(are)1uying the following descries -1Cf4•,o.' Y f•rj' 1!07 #n4 le!?._ ..• ope- -r...1- ..n.:��.
Deduction i thereby claimed on the date this application i- si• ed, (dam: • signature). I(We):
Ar
. ❑ )M(are)buying under recorded contract �+4 JUN 6 Zp16
❑ 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 •o/.nai fesi•-n•- st .
❑ Am(are)the shareholder, partner, or member of the entity that owns the property. filo::
( ._ ":§;:
�
It drying on coruad,Fee Simple owner's name
Recorder's oI a where convect Is recorded Record number I Page
>Tiy.-WIIrcre si.. S+iF'FeaMPROP,ERT':DESCRIPTION= a.7"- Ff�--'« '' :,171 '
Cary
Township Tang dseict(vi,town,towns,*
Panel number Legal desairxim Is the property in question:
Pr & se' a '_3-i l ❑Real poperty ❑Annually assessed mobile home(fe 6-1.1-7)
If any paean of the residercal n-nra or the land not exceeding one(1)acre that immscrtately surrounds that much z is used to Induce income,descibe the use and portion
of the property utilized to produce income.
�6- -- i8 - >1 9 _ y00 - 0oA . 395-0 a
. ' -PROPERTY OWNED ELSEWHERE BY CLAIMANT - ' , • • . _
Sate Canty,and Teemstdp Is clamant vacating a homestead?
. ' ❑ Yes ❑ No
Sipnamepf�qunara
I hereby certify the above statements are due,correct,and complete. I, ,[/ �M rrp , „ I I) 1 ,q Ai t
••- Cmrtad(rumrber end street.dA)t owe,end ZIP code) • Address vl%/r�edbL1'ortese,ea,dany(nuJmber and street cam state,and ZIP axe)
4 ' ' bl� ,i�l ,
£SSLSSOR USE ONLY' - dI , .ASSESSED VALLF I.t- HOMESTEAD VALUE I... NON-RESIDENTIAL'.'
VALUE
Land not exceeding one 111acre immediately lt) -i --K-ice-f".
surrounding residential improvements _- _- _.z __.. _
Other land (2)Total land(line 1 plus line 2) (3) I l - I - _ _. -
Residential Improvements or Dwelling (4) t �-
AnnuallyAssessedMobile/ ti_f _
Manufactured Home Garage (5)
Other improvements (6)
Total improvements(line 4 through line 6) (7)
Total value (line 3 pits line 7) (5)
I hereby certify the above is true,correct, Signature ofP.sxsa Date signed(rnontA day year)
and complete.
Verifying action-Signature ofAor:tor Date signed(month,day year)
-.i--• -=-yjt.i?=The-ateeMle - r TSTANNDARC DEDUCTIONACLOWANCEMr"r-i ere-At
20 pay 20 Lesser of 60%of the assessed value of the homestead or$45,000
Notmthstanding 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 mat property may
not exceed one-half(1/2)of the assessed value of the mobile home or manufactured home.
Syr. a Data signed(moat.day,>eer)
c -e ' ' -/6
DISTRIBUTION:Original-Cary AUdbr,FieSaryed Copy•Taxpayer