HomeMy WebLinkAboutHomestead_Steiner CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
e .‘7Z-5. STANDARD/SUPPLEMENTAL DEDUCTION
State Fom 5473(R15I5-14) HC10
Prescribed by the Department of Local Gwamert Finance
INSTRUCTIONS:See reverse side for hung instructior,a
NOTE:Telephone,Soda!Severity,drivers license,state identification and federal idenlihcaubn numbers are confidential under IC 6-1.1-12-37.
_ . . ' - '-'CERTIFICATION STATEMENT' - - - _ _. '-`'S'..'E ..;'`"L1- • •.
I(We) , , _ x g . '� certify'(- - ( 9)o.. pied .ndpal
place of residence or am(a-)buying the following described real property under contract for r a i e • P -ndard '
Deduction is hereby claimed on the date this application is signed, (date of signature). I(We):
❑ Own. ❑ Arn(are)buying under recorded contract JUL 5 2016
❑ 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 qua fed personal re idence a .
❑ Am (are)the shareholder, partner, or member of the entity that owns the property. - 41
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Recorder's oSce where contract is recorded - Record number Page
y.. is _�N'7ri ,,. t F :-. .;;;.'?g. ?P,2-05/ 1YDESCRIPTION `.i_ `F i_ `r+-1' ': . .taal9
Courty Township Taxing datrid(My,town,toanxhy)
Parcel ntr leer Legal description I Is the Property In question:
/ /U Lai ' -3-f/ ,a781 AC ❑Real propefy ❑Annually assessed muse hone(/C 61.1-)
If any paton of the residemul structure or the lend not exceetg one(1)acre that imreda:etf surrounds that strut n S used to produce creme,describe the use and portion
of the property utd¢ed to aoduce income.
a. & - / 8-07 - / 0 / - ooO. ,380, - V2- D-
PROPERTY OWNED ELSEWHERE BY CLAIMANT • '
Ste,Casty,and Township Is claimant vacating a homestead?
. ' ❑ Yes ❑ No
SgrtSUre/
I hereby certify the above statements are true,correct,and complete. v/
Address of wmad(number end meet.Ply state,and ZIPcode) (` Address of vacated homesead,4 any(number and street,dry,all,and ZIP axle)
l� 50 Easit d ark S+raf, ZN o(aensvl ►le Li 7626 5
ASSESSOR USE ONLY I ASSESSED VALUE I HOMESTEAD VALUE I --. NONREASIIDENTIAL
Land not exceeding one(1)acre Immediately (1) - . "----- {s
surrounding residential Improvements .a- - _ -.. _ --.-_
Other land (2) Re-__._
Total land(line 1 plus line 2) (3) - _ _ _ ._-
Residential Improvements or Dwelling (4) I' _ - 'il^__
Annually Assessed Mobile l _ -
Manufactured Home Garage (5) r ,_ .t, �`e:---5i"}
.-Z
Other Improvements (6) —7�.�-4 F,,,'?'_..-StJ -
Total improvements(line 4 through fine 6) (7)
Teal value (line 3 pits line 7) (5) I
I hereby certify the above Is bye,correct. Sgna*are ofAa xv Data signed(melt day,year)
and complete.
Va ycg adm-Signature ofMdlor Date signed(ninth day.year) .
_3;�-'r 7.2.-- -�+ ,-, STANDARD DEDUCTON ALLOWANCE&i�."�- •s��7;-„ �T�-°Ph��-��
20 pay 20 Lesser of 6O%of the assessed vaue of the homestead or 545,000
Notwithstanding any other provision,the sum of the deducions provided in IC 61.1-12 to a mobile home $
that is not assessed as real property or toe manufactured home that is not assessed as real property may
not exceed one-hall(12)of the assessed value of rim mobile home or manufactured home.
Signatne of Aa nor Dab signed(incur,day,year)
DISTRIBUTIO Audtor, a>GHyer