HomeMy WebLinkAboutHomestead_Sartore (4) !s_ , CLAIM FOR HOMESTEAD PROPERTY TAX I YEAR
7. STANDARD/SUPPLEMENTAL DEDUCTION FORM
P ct .. State Form 5473(R15/5-14) HCIO
Prescribed by the Denamnent of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions. •NOTE:Telephone,Social Security,driver's license,state ident ication and federal identtrication numbers are con5den - -
•i'.1-1 •• :NIL
qtr^ rh : ^r • it 5;I' 77 'CERTIFICATIONS14TEAENT{ .` I']v ryf I. '• I (1 f•.
.' i _® I(We) Menial� ilin Ett� rtify that l 0 . )
1
place of resid=nce or am(are)buying the following described real property under contrail for which a Homestead Property Tax Standard
Deduction is hereby claimed on the date this applicetion is signed, (date A/f9Rta55lm). Z 1j5:
❑ Own. ❑ Am(are)buying under recorded contract
❑ Am(are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation. nn,,
❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualifi trust
❑ Am(are)the shareholder, partner,or member of the entity that owns the property. ON COUNTY AUDITO
if buying on contract,Fee Sipple owners name
Reorders Dace where contract is recorded • Record number 1 Page
''9hh1--" -.1 °- P, '_ -„Eill'PROPERTY;DESCRIP-TIoirr .' i -, 2 1
. Cam:art” Townstup I Taxing district(city.tong I•
Parcel number Legal desdipdon Is the property m question:
C2(9-Ciao-050-16 CD ❑Real property Y A Annually assessed monde home(IC 6-1.:-n
U any portion of the reaidertal t truce or the and not exceedig one(1)ace that immediately surrounds that structure is used to produce income,describe the use and portion
• of the property Warmed to produce income.
24- 01/45-38-- 00 -7 _ 70adaS3 - 6I g
. _ PROPERTY OWNED ELSEWHERE BY,CLAIMANT' _ _ -. _ _ _,
Dam,County.end TDw'wup Is claimant rdcedng a homestead?
❑ Yes ❑ No
Si•nCUre of claimant //////
1 hereby certify the above statements are true,correct,and complete. . p , -1- -
Address of contact(number and street.dry,state,and ZIP code) f o r(- b Address of vacated homestead,d any(number and meet cy,.Cate.and ZIPc de)
Alb (Sd`'l L (>4-I t !L df IN k 7G
_•ASSESSOR USE ONLY I ASSESSED VALUE II ;'HOMESTEAD VALUE : I. NON EASIIDENTIAL. • '
Land not exceeding one(1)acre Immediately I(1)
surrounding residential Improvements
Other land 1(2) :6.=2T •n
ITotal land(line 1 plus line 2) (3) _ _ I — ___ -
Residential Improvements or Dwelling (4)
Annually Assessed Mobile/
Manufactured Home Garage I(5)
Other Improvements (8) - - ,C,-j.,....4._ r'
a
Total improvements(line 4 through line 6) in
Total value (line 3 pas line 7) I(8)
I hereby certify the above Ls true,correct, I Signature of Assessor Date signed(month,day,year) a
and complete.
Ve+•ytg adim-signature d a,&tDr \n ('i Date aligned(month day year)
�-,Z1"sat _:=cl STANDARD DEDUCTION'ALLOWANCE - _ _ t=t
20 pay 20 Lesser of 60%of the assessed value o/the homestead or 545,000
®
Nctwithstanding any other provision,the sum of the deductions provided in IC 6-1.1-12 to a mottle home S
that is not assessed as real property or to a manufactured home that is not assessed as mai property may
not excel,•. •. aft(1R)of the assn `.value of fhp mobile home or manufactured home.
Signature•AU Data° `rn en a�
' 0541
DISTRIBUTION: Odgiab-Gawky Audior,Fie-Damped Copy-Taxpayer