HomeMy WebLinkAboutHomestead_Livermore (4) CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
STANDARD/SUPPLEMENTAL DEDUCTION FORM
tt-- Stan Form 5473(R17/1-16) HOlO
lt`!s1✓] Resmied by se Department cc Local Government Finance
INSTRUCTIONS:See reverse side fro firing:ufruoons
NOTE Telephone.Social Settee%drlwts icense,state idm55caCen and federalWerRACa5ou numbers are confidential under IC 6-1.1-12-37.
I(We) y that I(we)occupied as my(our)principal
place of residence (are)buying the foaming desclbed real property under contract fa which a Homestead Property Tax Standard
Deduction is hereby claimed cc the date this application is signed, (dale 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 a 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.
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Canty Township Taxing tail(ay,town township) 2018
Pets ranter Legal twos i II(IS one .
��'^W! Al auu moms hoe(1C 6-1.1-7)
'tarry par r=or ere resgattal structure or the land nos ezaMmg ere ill eke that mma�eN saurth that moire is zW y�y Oesaibe am use aid cation
d Ito property utr¢ed to padre Mane. ' -lFOR
�szta(—1 t-to-3o - ooa . 11,1 9 -3321
.exi-vi –' +.' .7 5iZe3{¢....C. _r PROPERTXY XOWNEOELSETHERE,BYACLAINANTn, 1 . :%.-: -..'F:#��pj��:`'
Sae,Canty,and Township Is claimant vacating a homestead?
❑ Yes No
gu5re
I hereby certify the above statements are true,mrtea,end complete. _.//_ �
Ar new of contact(nwtear/=feet a b'.state,and ZIPm�) .•._•al s i\any T(rva+daempdstreot con>;a WZf'{,gb)
-5_'' ;:ASSESSOR USE ONLY r ASSESSED AL'UE� r HOMESTEAD VALUE . .NON-RESIDENTIAL,:�[. k/�C/R/Me.l
- –. .. .. _ ... . _ VALUE -_=i
Land not exceeding one(1)acre Immediately Y'-%• - r`T -.
sunoundasg residential improvements (1)
Other land (2)
Total land(final plus line 2) (3)
Residential improvements or Dwelling (4) -6- -
annually assessed mobile l `-
manufactured home Garage (5)
Other improvements (6)
Total improvements(lime 4 through line 6') (7)
Total value (line 3 pis One 7) - (a)
I hereby certify the above is true,correct, Square a ssessor Dab signed Poach do:year
and complete.
Vilifying anon-Slpnatse of Amax Dots soled(nmrnt day,year)
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L:.: i.EiAL' STANDARD DEDUCTION ALLOWANCE -Jr —"-err y'9„ -
20 pay 20_ Lesser of 60%of the assessed value of the homestead or$45000.
Notwdhstandl g any obey provision,the son of the deductions provided in IC 6-1.1-12 to a mobile home $
thin Ls not assessed as real property or to a nnnadarhrred home that is not assessed as real property may
not exceed ((Main's assessed of fhe mobde home or manufactured home.
64ain of Aortae:
Original-Cash Aattr,File-Stamped Copy-Tagie)w
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