Homestead_Spindler CLAIM FOR HOMESTEAD PROPERTY TAX
YEAR
{ STANDARD/SUPPLEMENTAL DEDUCTION FORM
State Form 5473(R15/5-14) HC10
Prescribed by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions.
NOTE:Telephone,Social Security,drivers license,state identification and federal identification numbers are confidential under IC 6-1.1-12-37.
(We the ( ) iedas vbu "pal
place of residence or am( re)buying the following described real property under contract for whir a Homestead Property Tax Standard
Deduction is hereby claimed on the date this application is signed, - (date of si gate.o�I e):
❑ Own. ❑ Am(are)buying under recorded contract JUL y+ L
❑ 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 quali( person ' crust
❑ Am (are)the shareholder, partner, or member of the entity that owns the property.
• • -
.
d
buying on contact,Fee Simple owners name
Recorder's o'Sa where mreac S ceded • Record number Page
DESCRIP.TION:._...'7s
Canny TawnsNp Taxing
d¢'.ritr(city,lemn.fowrsshp)
Parcel natter �LegalMdesaiipioon� Q/�� is the propeM In question:
'a`&,tz o
❑Real property ❑Amualy assessed mate home(IC 61.1-7)
II any portion of the pedan:sr S'^nse or the land not exceeding are(1)ate that. :edu:ety surrounds that atutae is used to produce income.describe the use and potion
of the property awreed to produce income.
OZ 6 i8 - 3 6 3o o0 i 9 72& —0
•
_ PROPERTY OWNED ELSEWHERE BY CLAIMANT • - -
53=,Casey.and Townsh Is claimant vacating a homestead?
• ❑ Yes ❑ No
^�' of daYn nt
I hereby certify the above statements are true,correct,and complete�t'I ie
lessof cornea(nu:nber and yraystate,and ZIP rode) 11 IAddress`/ : . and street.rdl:gee,and ZIP code)
i
1 /_V/7 w, Z_ berPAA_ I/arks/ddll tg ' 97659
ASSESSOR USE ONLY I ASSESSED VALUE I HOMESTEAD VALUE I NON�ESISIDENTIAL'
Land not exceeding one(1)acre Immediately '-'.
surrounding residential Improvements (1)
Other land (2)
Total land(line 1 plus tine 2) (3) _ _ _
Residential Improvements or Dwelling (4) `4-_- --'- °_-__:::y ..
Annually Assessed Mobile I _.
Manufactured Home Garage (5)
Other Improvements (6) — _e _-•
Total Improvements(line 4 through fine 6) I P)
Total value (line 3 plus line 7) I(8)
I hereby certify the above Is true,correct, I Signature of Assessor Date signed(month.day,yean)
and complete.
Vedyig action-SigrtaOre of Atdor Date signed(month day year)
F-y�' ,>'- r =�'Xp`c_ MSTANDARO DEDUCTION ALLOWANCE(= ) °s`y- '; -�'_'.".
20 pay 20 Lecvtr of 60%of the assessed value of the homestead or 545,000
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-half(172)of the assessed value of the mobile home or manufactured home.
Signature of Pud:a Date signed(mash.day,year)
4/1elle tint
DISTRIBUTION: Otgtal-Camay Auditor,Fte5amped Copy-T er