HomeMy WebLinkAboutHomestead_Harris (2) CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
STANDARD/SUPPLEMENTAL DEDUCTION
`,(11,P. CLAIM
Sate Fonn 5473(R15/5-14)
Presaihed by rte Department of Local Goverrsmpd Finance
INSTRUCTIONS:See reverse side for Ong instructions
NOTE:Telephone,Social Severity,drivees license,state identification and federal ldentGnation numbers are confidential under IC 6.1-1-12-37.
� 'CERTIFICATION STATEFIENT7' " - . - - ,
I(We) ,.►AC?'t Al@�1 iellI Tie•J c .A certify that I(we)occupied as my(our)principal
place of residence or am(are)•tiring th-following described real pr••- under contract for which a Homestead Property Tax Standard
Deduction is hereby claimed on the date this application is signed, (date of signature). I(We):
❑ 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.
`
Rem-des c5ce whet contract is retailed • I Record number Page
- l-Ov-} : '.- TiiiROPERTY;DESCRIP.TION°j' LA.5"'..1Rt"
Dgaxy Township Twang dstrint(ay,loon,toswte*) I� j .I
P I o. U I/��/ I iegal description
_'//s/ Is the property n cpenors (] (� s� Jj{
l -Q -a 3— ./ o- 3 ` all I ❑Real PmPeny ❑.AmaiMl l'a'te?.U4 c s-1.1-n
/�a-y port on aye r sidMal cscaaa(oANe�/land not exaediy one(1)acre Mat immediately sr-mounds that structure is used to produce bon.describe the use and portion
of the property?Abed to predum income.
GIBSO�UNT� R
- ' - __ ,• _ PROPERTY OWNED ELSEWHERE BY CLAIMANT
Sate,coney.and Township Is claimant vacating a homestead?
❑ Yes ❑ No
Signature of claimant Q
I hereby certify the above statements are true,correct,and complete.
k
AtGess of contact(number and.feet.sly,Vete,and ZIP cede) . '- of vacated homestead,d any(number and greet,al%gate,and ZIPcede)
1 W . . . • it t, . •
'ASSESSOR USE ONLY-. - .) • ASSESSED VALUE' .IJ +HOMESTEAD VALUE. _ I. . NON-RESIDENTIAL'
Land not exceeding one(1)acre Immediately C.'- 'a •Tn
surrounding residential Improvements 1(1)
Other land (2) -y..� ._ -__,y
Total land(line 1 plus I/ne 2) (3) I _ -_ -. I
-
Residential Improvements or Dwelling (4) ' v.:"ton'_
Annually Assessed Mobile I
Manufachrred Home Garage I(5) -s ,• .t``'t 3
, - y ! _
Other Improvements (6) ?
Total improvements(line 4 through line 6) (7)
Total value (line 3 plus line 7) I(8)
I hereby certify the above Is true,correct, I Signature of Assessor Date signed(man.day,year)
and complete.
Vadyig action-Signature of Audtor Date signed forth day.year)
,�- _ -: •;,'d9t.: ..L:."-._STANDARDDEDUGTIONACCOWANGE( jc� =
20 pay 20 Lesser of 60%of the assessed voue of the homestead or$45,000
No:ithaandng 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 to a menu; 'tired home that is not assessed as real property may
not exceed one-h (I/2 of the assessed value of mobile home or manufactured home.
SierSm dws . e' Dab (heat day,rapt
DISTILeunoN:Odgaal-Cony Anita.Fie-Stamped Copy-Tamayer