Homestead_Baker CLAIM FOR HOMESTEAD PROPERTY TAX e, YEAR
STANDARD I SUPPLEMENTAL DEDUCTION
..:i � Sate Face 5473(R15/S14) I t I,\1
Prescribed by the Dee-eery of Local Goersxm Finance a I
INSTRUCTIONS:See reverse side for fling instructions. •
NOTE Telephone,Social Security,drivers license,stab -ntifxation and federal iden:icration numbers are•• tjal,nd; I -12-37.
--• - '-.-•a7' )I -: - --- '°7. i i'f e, CERTIncknoN STATEMENT.;-.--_ -:-1-Win''.7a• u r--
I(We) certify that I(we)occupied as my(our)principal
place of residence or am(are)buying the following described real property under contract for wtHom a pefy-fax Sandard
Deduction is hereby claimed on the date this application is signed, ure), I(We):
GIBSON COUNTY AUDITOR
❑ Own. ❑ Am(are)buying under recorded contract
❑ 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 residence trust _
❑ Am(are)the shareholder, partner, or member of the entity that owns the property.
.. ''!_
If buying on contract.Fe Steeple ernes fame
Recedes"Me where contract's recorded Record number Pape
fie.fl 1._ r.' .� : -`:`s-'`t,,a''S. PROPERTY DESCRIPTION:' L(a.? ''` Z,-ra:_—= _^ ,.
Township rams da5ia(der
1■ . ■.. Ill(
Paipso-N-6-4 rtalts Rr- ,vat description Is the properly in quesbrt
ea�'/s • -obi V/1 Real propefy ❑ Annually assessed .. a home(IC 6-1.1-7)
If any parson of the resider..ml nate or the land not •one(1)acre that ti rede:Ny sorrmtdss that s rase u used to produce I caro,desmte the use and pawn
of the pr.,,e,ty?STaed to produce scorns.
_ -PROPERTY OWNED ELSEWHERE BY CLAIMANT .
State.Carey,and Township Is claimant vacating a homestead?
. ' 0 Yes 0 No
Signature of
I hereby certify the above statements are true,correct,and complete.
Address of contact(number end=ea,riy,sale,end ZIP and U Address of vacated h oresead,t any(nu end
/ O shoe(ory,Sae,and LP code)
0 5 I id,/ _ . _ " C r L.
' ASSESSOR USE ONLY t I ASSESSED VALUE I HOMESTEAD VALUE I NON-RESIDENTIAL
Land not exceeding one(f)acre Immediately I(1) - TA `='^
surrounding residential improvements _ . _�_
Other land (2)
Total land(line 1 plus line 2) (3) - _ .
Residential improvements or Dwelling (a) .-.'-' =- `. '.1'1 :',f
Annually Assessed Mobilel
Manufactured Home Garage (5)
Other improvements (6)
Total improvements(line 4 through line 6) (7)
Total value (line 3 plus line T) (6)
I hereby certify the above Is true,correct Signature of Assessor Data signed(meek say,year)
and complete. '$I T
Ven)4g aeon-Sienese of Audio/ IT rl F' ID) day,yeas)
- ---a[`r. $. - Ysr sji:��•''STANDARUDEDUCTIONTALLOWANCEy pppXX 11 016
� s-�i-
20 pay 20 Lesser of 60%of the assessed vdue of the homestead or 545,000 T ` 2 016
Notwithstanding any other provision,the sum of the deductions provided in IC 6-1.1-12 to a mobile home $
that is r a-'--sled as real property or to a manutaciured home that is not assessed as real properly may '
not excWd all(12)olthe a ed value of the bile manufactured home. I. ' 4�rl� •
Sgrna • -aor GIBSON CO "r i /"
i
DISTRIBUTION:Original-County Audror,FeeSamped Copy-Taxpayer