HomeMy WebLinkAboutHomestead_Lamar (2) CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
k STANDARD/SUPPLEMENTAL DEDUCTION FORM
- _ State Form 5473(R1515-14) HC1D
Prescribed by the Depane of Local Govrsrerd Fiance 1
.^ rt v /
r ET)INSTRUCTIONS:See reverse side for filing instructions. 1
NOTE:Telephone,Social Security,driver's license,state identification and federal identification numbers are confidential under IC 6-1.1-1237. yy
I(We) certify that I(we)occupied as my(ou pa 1016
place of residence or am(are)buying the following described real property under contract for which a Homestead Property Tax Standard O
Deduction is hereby claimed on the date this application is signed. (date of signature). I .
D Own. ❑ Mn(are)buying under recorded contract. GIBSO N •917,x:
❑ Am(are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation. COUNT
❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified personal residence trust AUDITOR
❑ Am(are)the shareholder,'partner, or member of the entity that owns the property.
(
If buying on=tract.Fee Simple owner's name
Recomtees oW¢ aaad where C a recorded Read number Page
a
i7 t ~s �'
't a 1- PROPERTY DESCRIPTON7„%= "s '` , Y t 'T=
Count
' Tovmstip Tang dsirt(-rr,town,townslzy)
'4o x.124
Pa•-=bet Legal description b the property in guerian
w _/�- 0-act".9 - .O 9 9- o 3 VlReal Popery ❑ Areaway assessed noble name(IC 61.1-7)
It a8 nanyy oaten ofththe residen^.alst!/,rdure or the Ian not exceeding e eU(1)acre that vnneaatly surrounds that stflae is used to produce income,describe the use and portion
of the Popery tied to produce imne.
' - - PROPERTY OWNEDELSEWHEREBY CLAIMANT • ° -
•Ste,Carey.and Township Is claimant vacating a homestead?
' ❑ Yes ❑ No
Sipravro of math 1 D
I hereby certify the above statements are true,correct,and complete. „/ ��u.Yl1-O.._ PO4
r�A cmreadmrad(numberandareet,dbstae,andZIPaide) Address if any(numbeedGOec gae,edZPnode)
ry
10zI9 C (rD1j,Y% S+ 06A2200)rJ .D... inn. 0
ASSESSOR USE ONLY I ASSESSED VALUE I HOMESTEAD VALUE I NON VESISIUENTIAL
Land not exceeding one(1)acre Immediately (1)
surrounding residential improvements
Other land (2)
Total land(line 1 plus line 7) (3) _ - ___
Residential Improvements or Dwelling (4) ,
Annually Assessed Mobile) - -
Manufactured Home Garage (5)
Other improvements (6) _ _n a:.--._. '-G
Total improvements(line 4 through line 6) (7)
Total value (line 3 plus line 7) (8)
I hereby certify the above Is true,correct, Signature of Assessor Dare signed(month,day,year)
and complete.
Vedyi-g action-Signature of Aud'.tor Date signed(month,day,year)
r -'??"�µa� 'lr�ye.7.1' i':�fd:tSTANDARODEOUCTION'ACCOWANCEyy`= T- ". "_""a3c1
20 pay 20 Lesser of 60%of the assessed value of the homestead or$45,000
Notwithslamling any other provision,the sum of the deductions provided in IC 6-1.1-12 toe mobile home $
that is not assessed as real property or toe manufactured home that is not assessed as real property may
not exceed one-half(1/2)of the assessed value of the mobile home or manufactured home.
Sgra]ae of Aodtor Dare Signed(month,day.yew)
DISTRIBUTION: Original-County AUda,FeeSamped Copy-Taxpayer