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HomeMy WebLinkAboutHomestead_Spindler (29) -'nk" CLAIM FOR HOMESTEAD PROPERTY TAX STANDARD/SUPPLEMENTAL EDUCT ON ' FORM TEAR �' State Fonn S473(R15/5-14) HC10 Prescribed by the Department of Local Government Finance INSTRUCTIONS:See reverse side for tiling instructions. NOTE:Telephone,Soda/Security,drivels(cense,state identification and federalldentiication numbers are cmhdential under IC 6-1 - - 7. i 7-F' -- -•_' '-. _ CERTIFICATION STATEMENT:Fr^ - •z {7)yi t WTI I fv. fi I I,f :3• I(We) A^ it �L� • IL •- ce�t I(we)occupied : y ' r i Tin:..;. place of r- dence or am(are)buying the following described real property under contract for which a Homestead Property Tax Standa • Deduction is hereby claimed on the date this application is signed, (date of signature). l,C(e): ,1 2117 0 Own. ❑ Am(are)buying under recorded contract �)''�r(( Y ❑ Arn(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 re•enoe •a-t. r% ❑ Am(are)the shareholder, partner, or member of the entity that owns the property. � 7n1f► 'Lc' a toying on contact Fee Sipple owner's name Recorder's ohm Were contact is recorded • Record number I Page • ti'VtWI°°`= gr eav`al,0s C':' aeP,ROPERTY.DESCRiErnow:71-M' ritz— .' a'_' _' Cory Township T Parcel ninber /leggal,ddeso'iption �/]Its ttrhee property it Guests Y� ^5+J rat vYC2 al ccceeny ❑Annually assessed noble home(IC Gr.1-7) It any poi of ue residereial aueure s the Wd not erset-g one(1)ace that immediately surrounds that tare is used to produce income,describe the use and porion of the property uta'¢ed to produce income. a62 - a. 3 -r'6 - gat - ° ca. 69/ -0 AV . • - - __ PROPERTY OWNED ELSEWHERE BY CLAIMANT, ,- - __ 7 __ _ ,, Sea,Carey,and To mship Is claimant vacating a homestead? - ❑ Yes El No Ca I hereby certify the above statements are true,correct,and complete. �l S h /_r Address. mrexi(number rSheet.ay,gate,end ZIP cede aed homeSeadd..fyJya(n1 rend seat atata-and ZIP code) ) I1 a_i t C- AA • EIS Al 1- i(II . / ASSESSOR USE ONLY _ I ASSESSED VALUE'- I HOMESTEAD VALUE' I NON-RESIOENTUIL'-- VALUE Land not exceeding one(1)acre immediately - d ` surrounding residential Improvements I _- T (1) '.r`--- •:1g-% Other land (2) Total land(line 1 plus line 2) (3) - .. - .-- . Residential improvements or Dwelling (4) Annually Assessed Mobile I Manufactured Home Garage I(5) I c -i: Other improvements (6) Total improvements(line 4 through line 6) (7) Total value (line 3 phs line 7) 1(8) I hereby certify the above is true,correct, Signature at Assesses Dare sra.ed(rnmth,day,year) and complete. Verifying an-Sgrabrte of Author Data signed(n.o'eh,day,year) °` ^ rs„a '.:27 STANDARD DEDUCT1ON'Al OWAANCE = y+x ,Tags 20 pay 20 I ester of 60%of the assessed value of the homestead or 545,000 Notwithstanding g any other provision,the sum of the deductions provided in IC 6-1.1-12 to a mobile home 5 that is not assessed as real properly or toe manufactured home that is not assessed as real property may not exceed one-half(112)of the assessed value of the mobile home or manufactured home. Signs" -of Author Ora signed(march,day.year) .•�i4 L1a• �i4_-a - ,rt DISTRIBUTION:Orignal-Caaey .. .,Fie-Samped Copy- ....• er f