HomeMy WebLinkAboutHomestead_Falls flie CLAIM FOR HOMESTEAD PROPERTY TAX -# YEAR
4... ....b".0 STANDARD/SUPPLEMENTAL DEDUCTION FORM
State Form 5473(R17/1-16) HOW
Presorted by the Department at Local Goverment finance
INSTRUCTIONS See'averse side Io6Tog instructions.
N01E Telephone Soda(Seaniity driver's term,stare afron and m*a)&nteralm melbas are cotdenha!ortIC 6-1.1-12-37.
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I(We)v/.QJ2JL1 rt.(' - Itl certify that I(we)occupied as my(pair)principal
place of residence a am(are)buying the following descnbed real property under contract for which a Homestead Property Tax Standard
Deduction is hereby claimed en the date this application is signed, (date of signature). I(We):
Own. ❑ Are(are)buying under recorded contrail.
❑ 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 terns of a qualified personal residence(rust
❑ Am(are)the shareholder, partner, or member of the entity that owns the property.
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Cam Tams* Tads dstdd(oh;this term I*
FEB 14 2018 a t_/gtj-v'9-a
o 1 o60,3940 607
Pacer meter Lags tattoo s to warty in aestr
Real acpatr ❑Amem%assessed noble home(IC 6-1.1-7)
If any Pot=o the mskl.a d1Eef3:? DI..exceectry one(1)owe that rmeemey wrdnCS that wumre is rivet m ao sa icmm,describe to we and portion
dtemPmidin5WteiMITY AUDITOR !here-[�
.'L --'.i.ls-••t' 4- : .�PROPERTY,OWNED ELSEWHERE BY.CLA WANT W'.__°.r17210.24:-.,TS7�t' :''��q-n
Stars,Carex.arid Toanshp Is claimant vacating a homestead?
alt ❑0 Yves ❑ lid
I hereby certify the above statements are hue,correct.and complete. / / n fn,t {?L i 16
Address of cursed(number end street dry.seta.edZIPmde) Address of vacated i i ..t J.eery(number and street,macerate at LPwi.)
c134 SOU ( 0 (l8 v St
ASSESSOR USE USE OflLY ( ASSESSED VALUE_.'`' HOIAESTE D JALUE . �,_ON.VALLUENTIAL'-f'•s.-
Lend not exceeding one(1)acre Immediately .- (1) *°Y '3j"�iT^^t
surrounding residential bnpsoverranb .e=x-+-9 -..-
`Other land R) pw'rtn :?:x_-
Total land(tine 1 plus line 2) (3) .
"" r. k;Residemlal Imp Improvements or Dwelling (4) - .ct? .(e. :
annually assessed mobile I t s rJ xa. a
manufactured home Gape (5) _
Other Improvements (6) _„�-2, '_.,;__ti:,riaea.
Total improvements(line 4 through line 6) (7)
Total value((tire 3 plus line 7) (a)
I hereby certify the above b true,correct, 5 of Assessor Dot s'gn eta(1ternr del:)ea)
and complete.
VatWS erg-Signature of AUdbr Oat signed(awn day.Yaw)
,`, .1r..., .r_„ S_„y',r`STANDARD DEOUCTIOIJALLOWA'JCE_ <s. '-, rte.(. 'r
20 pay 20 Lesser of 60%of the assessed value of the homestead or 445,030.
Nohithsmalrg any other provision the sun of the deductions proNded in IC 6-1.1-12 to a mobile hone 4 •
that is not assessed as real property or he a manufactured home that is not assessed as realPmperty may
not exceed one-hat(f/2)of the assessed value tithe mobile home orn,anaacaaed home.
Sig sere oAodbr Date sg3ed( nnat day,cud .
S`e z.i °...—.' 2�y
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DISTRIBUTION:OrogfiS-CorryAadaa,fi69xrped Copy-Trgayer
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