HomeMy WebLinkAboutHomestead_Unfried era. CLAIM FOR HOMESTEAD PROPERTY TAX I YEAR
A'•,.} 1i STANDARD/SUPPLEMENTAL DEDUCTION FORM
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State Form 5473(R15/5-14)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions. i 1
NOTE:Telephone,Soda/Semidry,drivels license,state identification and federal identification numbers am confidential under! • 1.1 ,,I
/T .. - '
der �I�sCERTIFICATION STATEMENT.'•- r __ ,1_./'
I(We) i f 'i A certify that I(we)occupied A G 6(o )yri II
place of residence or am(are)buying the following d- • bed real property under contract for which a Homestead Property T"az Sabdhfp
Ded ction is hereby claimed on the date this application is signed, (date ofsignatyre). I(We):
Own. ❑ Am(are)buying under recorded contract
❑ Am (are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation. Q�Y7�
❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualifieds personal Oresiidence tA�OITOR
❑ Am (are)the shareholder, partner, or member of the entity that owns the property.
6 buying on contact,Fee Simple owners name
Recorders office where corset S recorded • Record number Page
-'_' _ of _ t>' i `= Y-FSi PROP,ERTYDESCRIPTION -g'� .�'pE T3jBee-lasss+,q.r s..;;5<"- L-
Parcel number i i ^ Is�the l�'R0ealalry in numb=on
I A{`/iC/1[�4 i "--worm ❑A^nw0y assessed mobile twine(IC 61.1-7)
If any p�vgdt of the d to produce ceurdae or the land not ezcee{ (1)�ge ha Or umou tMS that structure¢used to produce Income,tlesvi0e the use and portion
of do���\\\tribnibn verb i to ROm�'em:o. /LL
dfriz
a% -J3 —off moo —GOO. 7/3—oc2
-. PROPERTY OWNED ELSEWHERE BY CLAIMANT
SYe,Carey,and Towrship Is claimant vacating a homestead?
❑ Yes ❑ No
Signature darara` �r�
I hereby certify the above statements are true,correct,and complete. „A `� 7/ af7d
Address of contact(number and street,rd y,state,and ZIP code) Address of vacated omecnd,if any(number meet,cry state,and ZIP code)
S D a _ • ■ ku-e . I-,
• ASSESSOR USE ONLY • I ASSESSED VALUE 'I .HOMESTEAD VALUE _ I. NON-RySISIDENTIAL
Land not exceeding one(1)acre Immediately I(1)
surrounding residential Improvements
Other land 1(2)
Total land(line,1 plus line 2) I(3) - — _. -
Residential improvements or Dwelling I(4) _
Annually Assessed Mobile I _ ' „'a" - -
Manufactured Home Garage
, T
•
Other improvements (6) `' _,,,*
Total improvements(line 4 through line 6) (7)
Total value (line 3 pits line 7) (6)
I hereby certify the above Is true,correct, I Signature of Assessor Date signed(month,day,year)
and complete.
Vetyig action-Signature of A&sttr Oats signed(noel day.yam)
kileg _aW.STANOARODEDUCTION ALCOWANCEa .v` -
20 pay 20 I rssar of 60%of the assessed value of the homestead or.$45,000
Notwithstanding any other provision,the sum of the deductions provided in IC 6-1.1-12 to a mobile home 5
dial is not assessed as teal property of toe manufactured home that is not assessed as real property may
not exceed one-half(12)of the assessed value of the mobile home or manufactured home.
Sgt re of Autlor Data signed(ninth,day,year)
DISTRIBUTION:Odgial-Casey As,d a Fie-Samped Copy-Tmmayer