HomeMy WebLinkAboutHomestead_Huff ;, CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
STANDARD/SUPPLEMENTAL DEDUCTION
� � State Fmm 5413(R15/5-14) HC10
Prescribed by the OePa toners of Local Government Finance
INSTRUCTIONS:See reverse side for filing instruction.
NOTE Telephone,Social Security,drivers license,state identification end federal identification numbers are confidential under IC 6-1.1-12-37.
CERTIFICATON STATt3ENT' _ s
:•11.7-
I(We � I
G�'�� certify that I(we)ocafpied as my(our)principal
place of residence or am(a , buying the foil. (11P- •esaibed real property 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.
_ __
_
If buying on contract Fee Sitpl owners name
Remrdees office where m-eae is records • Record number Page
,�eirTROPERTV70ESCRIP,TION; , L ��r:�q_ +r
Cwrey Toe msNp Taut'ddrid(dry,town.towns/10
Pared number Legal desaipdorn Is the property in dies-Son
❑Real property ❑Annually assessed mobile home(IC 6-1.1-7)
If any poste of the revde:dzl=rare or the Land not one(1)acre tat'.med'Xety sus sonde that sTxTise is used to produce income,desate the use and portion
of the property escad to produce bon.
0 (o - L 1.- 30ado - '1?S- 30?-02(, PROPERTY OWNED ELSEWHERE BY CLAIMANT
sate.Cagy.end Township Is claimant vacating a homestead?
' ❑ Yes ❑ No
LSgvare m
I hereby certify the above statements are true,correct,and complete. `Sign •
Address of mn'ad(cumber end greet,rdy,aide,and ZIP code) Or �.N„ aJ(.rteess of vs measad.if any( greet ray.ge;e.and ZIP code)
124 it Spy crgp g F
ASSESSOR USE ONLY. . I ASSESSED VALUE - HOMESTEAD VALUE I NON-RESIDENTIAL-
.VALUE. ... ••:•r
Land not exceeding one(1)acre Immediately I
surrounding residential Improvements (1)
Other land _ (2) _ ,.� -
Total land(line 1 plus line 2) (3) -
Residential improvements or Dwelling (4) �i�
Annually Assessed Mobile l L E l
Manufactured Home Garage (5) _4
Other Improvements I(6) .•_ ._ APR 26 2017
Total Improvements(line 4 through line 6) I CO
Total value (line 3 pies line 7) I(8) -
I hereby certify the above Is true,correct, I Signature of Anne-sr year)
and complete. GIBS. I. CfUNTY AUDITOR
Verateg action-Signature olhatter Date signed(mora day.ye
ffn`-4`eA°J°•- sett q-=ISTANDARD DEDUCTIONALLOWANCE s•'b`+c, h" jam- =�*""°-s„Y^=
20 pay 20 Lesser of 60%of the assessed value of the homestead or$45,000
NoASithstanding any other provision,the sum of the deductions provided in 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 real property may
not exceed one-half/1�1R)of the assessed value hLLtkPc)bile home or manufactured home.
Sgnaare otAUt:1�f DISTRIBUTION: Original-CmmyAsditor,Fe&anped Copy-Tayer