HomeMy WebLinkAboutHomestead_Vaughn _.� - CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
r'-- STANDARD I SUPPLEMENTAL DEDUCTION
t: HO70
State Form 5473(R15/5-14)
Prescribed by the Oel+ammiera of Local Gov a—ay Finance FORM
INSTRUCTIONS:See reverse side for filing instructions. •
NOTE:Telephone,Social Security,drivers license,state identification and federal identfcation numbers em confidential under IC 6-1-1-12-31
' . - - , , -: CERTIFICATION STATEMENT .3,',7•-:,:32,-/ '411,1 J,7♦: 1
I(We)
certify that I(we)occupied as my(our • •-I .
p
0
lace of residence or am(are)buying the following described real property under contract for which a Homestead Property T- Standa • '
Deduction is hereby claimed on the date this application is signed, (date of signature). 41 1=I
Own. ❑ Am(are)buying under recorded contract cim
❑ 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 qualfied• i•,,-';v h• 4 st ,
❑ Am(are)the shareholder, partner, or member of the entity that owns the property. Co 'S',,,.
:_ __
"
If bcying on contract,Fee Simple owner's name --- --
Recorder's o5m where contract is recorded Record number Page
Eg a'em1 Waa'r_n'$KP':`�''T-:4 1 PROVERTYDESCRIP-ION t•-tT Titr4=- H
• .1 '
Township I Taxg•' "(all:to
a Q
Parcel nutter Legal deso'4,6on Is the in on
Real property ❑Anna!y assessed mobie home(IC 6-1.1-7)
If Iron of the residential sauces?or the land not exceedtg one(1)acre that immediately sumo that C.rWae is used to produce income,desaEe the use and potion
of.. tries to produce income.
cZta 0‘.—/‘a 4-. duo &7 0/7
' ' PROPERTY OWNED ELSEWHERE BY CLAIMANT, - ' -
Sae•Coady.and Township Is claimant vacating a homestead?
. ' ❑ Yes ID No
Sigruts of daimam
I hereby certify the above statements are true,correct,and complete. --.,///�` fdaimf
F.xx:eaCf=tact(number and sleet,�:stare,and ZIP code) Address i��umDx end Sme(frpy;Vend ZIP code)
ASSESSOR USE ONLY • I- .ASSESSED VALUE I HOMESTEAD VALUE.
ALUE,' •.I NON-RESISIDENTIAL•-
Land not exceeding one(I)acre Immediately (i) - y;?4t'
surrounding residential improvements - —
Other land (2)
Total land(line f plus line 2) (3) I • — _
Residential Improvements or DwellIng (4) I --
Annually Assessed Mobile/ 3 1
Manufactured Home Garage (5) I .._ __'_�x:i.•
Other improvements (6) I �!:'. -
Total Improvements(line 4 through line 6) (7) -
Totl value (line 3 plus line 7) (8)
I hereby certify the above is true,correct, I Signature of Assessor Oat,signed(month,day,year)
and complete.
Veiytg action-Signature oAndtsr Date signed(mmtt day.year)
i cat.stir-- r STANDARUDEDUCTIONALCOWANCEF •. 'a- �"' _
20 pay 20 I ecanr of 60%of the assessed value of the homestead or 545,000
Notwifhsanding any other provision,the sum of the deductions provided a IC 6-1.1-12 to a mobile home $
that is not assessed as real property or to a manufactured home that is not assessed as mar property may
not exceed one-had(112)of the assessed value of the motile home or manufactured home,
Signatae of AUdtor Dad signed(nvtt day.year)
DISTRIBUTION: Original-County Avrdda,Fete-Samped Copy-Taxpayer