HomeMy WebLinkAboutHomestead_Casey (2) IA., CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
STANDARD/SUPPLEMENTAL DEDUCTION OR
Slate Form 5473(R15I5-14)
Prescribed by the Depahnenl of local GOmrvxN Finance
INSTRUCTIONS:See reverse side for filing insinc'ions.
NOTE:Telephone,Social Security.drivers license,state identification and federal identification numbers are confidential under IC 6-1.1-12-37.
" P ' - - CERTIFICATION STATEMENTI`r " r = c: rf '.7.2- '`4 i
I(We) ./)(/a.: / �___/ certify that I(we)occupied f-s myyur sri-..•.t-,a.
place of residence or am(are)buying the following des• bed real property under contract for which a Homestead Property Tax Standard
Deduction is hereby claimed on the date this appli ati.n is signed, (date of signature)O1 J1e ):: �1 C
❑ Own. ❑ Am(are)buying under recorded contract. 1 L' 6
❑ 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 personal raj.-nce r - r;
❑ Am(are)the shareholder, partner, or member of the entity that owns the property. I'.' v i�pi
!
d buying on contact Fee simple owners name
Recorders o where centred recorded
or c Record number I Page
-Get 2. 2-,,7-ri.° 'i—trz�_,P,ROPERTY,DESCRIP,TION' 3'-'lair ' T .' -.L
Coa4y' TownsNp Tang datrici(illy,town,fownshy) •
Parcel number pLegal desairtion the property in question:
,A-O glee / ❑Real Poxm' ❑nun((/���///rNYY caressed mobile Mme(IC s-,.,-7)
8 any paten of Me reside ial tnn re cc the land rot exc'edsg (I)ace that imrnedtr f=rounds that enrage is used to produce income,denote the use and pox)
of en pnpeny tamed to pnodum bon.
062 - P1-/ d'- 30 ,E-00/. J-v7 -o0 7
PROPERTY OWNED ELSEWHERE BY CLAIMANT' ,. - - - ,
532,County,,and Township Is claimant vacating a homestead?
. ' 0 Yes 0 No
tea' - of claimant •
I hereby certify the above statements are true,correct,and complete. X
ehdatm of content(numbra ende.sPwt city,die e,and ZIP code) I Address of vacated baxstead,i any(number street city,eat,and ZIPmde)
_ O/ ',A I li r
ASSESSOR USE ONLY I ASSESSED VALUE- HOMESTEAD VALUE' 1 ':' NON-RESIDENTIAL
< VALUE._.
Land not exceeding one(1)acts Immediately (11 --'r ' __ - ;rrr-T
surrounding residential improvements
Other land (2)
Total land(line 1 plus line 2)) (3) _ I-- . _ _
Residential improvements or Owelang (4) I
Annually Assessed Mobile/ I
Manufactured Home Garage (5) •
Other Improvements (6) '•=, i'_. ._ --':2<
Total improvements(line 4 through line 6) (7)
Total value (line 3 plus line 7) I NO
I hereby certify the above is true,correct, signature of bas 'a Dal signed(ninth day yeas)
and complete.
Vaty'vg adan-Signature of Aud:ta Date signed(math,day,fear)
3=a ` t x'_a`+5i_x Zy^1STANDARDDEDUCTCNALLOWANCEr;;_'. g'a°
20 pay 20 Lesser of 60%of the assessed vaue 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 S
that is not assessed as real property or to a manufactured home that is not assessed as real property may
not exceed one-half(12)of the assessed value of t he mobde home or manufactured
home.
Signature
Dec signed(mmJ4 day.Year)
ir ed lu_/ mot_ 1,71....,
II
DISTRIBUTDN:Otigval-Gamy AUtr,Fie-Griped Copy-Taayer