HomeMy WebLinkAboutHomestead_Weber (12) 'CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
fral- 'STANDARD I SUPPLEMENTAL DEDUCTION FORM
' State Form 5473(R15/5.14) HC10
Presaibed by the Department of Local Gorernnent Finance
INSTRUCTIONS:See reverse side for filing instnlcliMS
NOTE:Telephone,Social Security,drivers license,state identification and federal identification numbers are confidential under IC• -1 -37.
Ji..'..- ^' 7 CERTIFICATIONSTATEMENT` 'r's' -r" ($$3 II fi- .-.f• �''�•I(We) I� ,,.. 'mss-1"n certify that I(we)occupl_: .s • o • •i•.I
place of r-idence or am(are)buying the following described real property under contract for which a Homestead Property Tax Standard
Deduction is hereby claimed on the date this application is signed, (date ofsgnaturA) 'W
❑ Own. ( ❑ Am(are)buying under recorded contract +P ` S 20 r
❑ 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 persona sidence .
❑ Am (a ie)the shareholder, partner, or member of the entity that owns the property.
U buyL"g on m:trdct Fee Sinple owxfs name
Recorders o5m Mire contract is remded Record number (Page
R'-tr s >- t'i2�c'-.4' "-`;lT.4:a P.ROPERTY,,DESCRIP,TION- •r- j°r.,{;:ir''°.s rat.----
Curry Township Tarring district(city,town,township)
71 acA-6-a-r-a—cit-
Parcel number Legal desvipton 55/ the property in question:
Lde,,, IS. El Real property ❑ Amuany assessed rmbae home(IC 61.1-7)
It any portion of the residential structure or the land not Ceedig toe(1)acre thatimmediately srmounds that athier re is used to produce income,describe the use and pork.%
of the propeny tatted to produce scene.
CZ-1 94' 3/ 'SOI 000. yil A - Oa ,
% - . PROPERTY OWNED ELSEWHERE BY CLAIMANT - __ _ _ ,
Sate.Casey.and Tip Is claimant vacating a homestead?
❑ Yes ❑ No
x �Lo�
I hereby certify the above statements are true,correct,and complete. 1l
Aides of mnad(nrmrber and street,city,state,and ZIP code) - -of sated _.. C. (number and street oil-snide,and ZIP code)
!b . • - -, .2 • Qu.b a -al • II
ASSESSOR USE ONLY - I • .ASSESSED VALUE I-_ HOMESTEAD VALUE' ,I ••NON-RB UENTWL .. •
Land not exceeding one(1)acre Immediately I(1) - I -
surrounding residential Improvements
Other land (2)
ITotal land(line 1 plus line 2) (3) _ - I _ __- •
Residential Improvements or • OweMng (4) I - - -y-- -'-
Annually Assessed Mobile/ �' -"' - - _• -
Manufactured Home Garage (5) I _ _- r °-'�.•
Other improvements (6) I ='1 'x
Total improvements(line 4 through line 6) (7)
Total value (line 3 plus line 7) (B)
I hereby certify the above Is true,correct, I Signature of Assessor Date signed(month,day,year)
and complete.
Verifying action-Signature of Adtor Date signed(month,day.year)
-°"y-' :`-k. "1,:pre c ctrAa 5TANDARO DEDUCTIONALL'OWANCE .r�'�='r' '-=' e
20 pay 20 I eesar of 60%of the assessed value of the homestead or$45,000
NoM4thstanding any other provision,the sum of the deductions provided in IC 6-1.1-12 to a mobile home S
that is not assessed as real property or to a manufactured home that is not assessed as real property may
not exceed one-half(12)of the assessed value of the mobile home or manufactured home.
Sgraoce of Austor / Data signed(tut\dry,year)
DISTRIBUTION: � -