HomeMy WebLinkAboutHomestead_Reese S CLAIM FOR HOMESTEAD PROPERTY TAX I YEAR
STANDARD/SUPPLEMENTAL DEDUCTION
State Form 5413(R15I 5-14)v Prescribed by the Depaanert
of Local Government Finance F ORM g
INSTRUCTIONS:See reverse side for filing instructions
NOTE:Telephone,Soda/Security,drivers license,state identi ication and federal identification numbers am confidential under IC•
. GLf
•
-- T T ' ".- p . -- , 'CERTIFICATION STATEMENT.`_' _ ` '.-- )r.-1.1-...'J rJ
I(We) //. s4T?1➢Y!1�.. •f I certfj thatl(we)octopi.. s o ; '-f I, 1,`
place of residence J,m(are)buying the • • 'ng described real property under contact for which a Homestead Property Tax Standa•
Ded�uction is here• aimed on the date this application is signed, (date ofsgnatulp) t(VJyJ:[
C'9wn. ❑ Am(are)buying under recorded contact MM CY ((JJ J 201
❑ 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 perso 1-sidencee s �. -
❑ Am (are)the shareholder, partner, or member of the entity that owns the property. W/0710;
: • ..
if buying on contact.Fee Simple osmees name
Raateis aloe where mecca a recorded • Record number Page
g Y i,-' ` ve2' ire .—`tom - 4-WOROPERTY,DESCRIP.TION:
Carey - Township Tons.:d town tams".y)
)
Parcel number Legal desatp:ian Is the property m GTsai
Mie on
I n property ❑Annually assessed mobae horns(IC 6-1.1-1)
If any pot=of the residential szaare or the land not exceed:ig one(1)ate that imxdatety surrounds that erucrve S used to produce 4came,describe the use and portion
d the prwefty tewced to ratan ricPx.
07/—//— is - 0R10 3 CO s. 907 Ca g-
-_ PROPERTY OWNED ELSEWHEREBYCL'AIMANT ' _ k
Sate,County.and Township Is claimant vacating a homestead? '
' ❑ Yes ❑ No
Signature of claimant
I hereby certify the above statements are true,correct,and complete. >c"-
Alva of contact(=rat end street cLy,star,and ZIP code) Address of vacated homers. ,if any(number and treat ray,stale,end ZIP code)
x z ' g" SI' Pr/M,. • . IN. elo
ASSESSOR USE ONLY :I ASSESSED VALUE I HOMESTEAD VALUE. NON VALUENRAL'
Landnot exceeding one(1)acre immediataly (1)
surrounding residential improvements
Other land (2)
Total land(line l plus line 2) (3) _• - • —. -_.
Residential improvements or Dwelling (4)
Annually Assessed Mobile!Manufactured Home Garage I(5)
Other improvements (6) :42, _.x
Total Improvements(line 4 through line 6) (T)
Total value (fine 3 phs line 7) I(8)
I hereby certify the above Is true,correct, Signature of Assessor Date signal(months day,year)
and complete.
Vs—dying anion-Signature of Pupa Date signed(morn,day,year)
z - 5 . � +wS> 'STANDARDDEDUCTIONAllOWANCE al
20 pay 20 Lassa of 60%of the assessed value of the homestead or$45,000
Notxfthalanding 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-hatl(1/2)of the assessed value of the mobile home or manufactured home
Sigr of ror I. \Q Date signed(mak day,year)
DISTRIBUTION: Original-Cony Aud ta.Fle-Samped Copy-Taxpayer